Common use of Agreement to Use Electronic Signatures Clause in Contracts

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: ▇▇▇▇▇://▇▇▇▇▇▇.▇▇.▇▇▇/apps/idoa/contractsearch/. Indiana Underground Plant Protection Service Indiana Utility Regulatory Commission By: By: Title: Executive Director Title: Chairman Date: 9/18/2023 | 09:07 EDT Date: 9/18/2023 | 10:15 EDT Electronically Approved by: Department of Administration By: (for) ▇▇▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇, Commissioner Electronically Approved by: State Budget Agency By: (for) ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇, Director Approved as to Form and Legality: Office of Attorney General Form approval has been granted by the Office of the Attorney General pursuant to IC 4-13-2-14.3(e) on February 23, 2023 FA 23-03

Appears in 2 contracts

Sources: Grant Agreement, Grant Agreement

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts DatabaseDatabas e: ▇▇▇▇▇://▇▇▇▇▇▇.▇▇.▇▇▇/apps/idoa/contractsearch/. Indiana Underground Plant Protection Service Indiana Utility Regulatory Commission By: By: Title: Executive Director Title: Chairman Date: 9/18/2023 9/15/2023 | 09:07 10:57 EDT Date: 9/18/2023 9/15/2023 | 10:15 17:39 EDT Electronically Approved by: Department of Administration By: (for) ▇▇▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇, Commissioner Electronically Approved by: State Budget Agency By: (for) ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇, Director Approved as to Form and Legality: Office of Attorney General Form approval has been granted by the Office of the Attorney General pursuant to IC 4-13-2-14.3(e) on February 23, 2023 FA 23-03

Appears in 2 contracts

Sources: Grant Agreement, Grant Agreement

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts DatabaseDatabas e: ▇▇▇▇▇://▇▇▇▇▇▇.▇▇.▇▇▇/apps/idoa/contractsearch/. Indiana Underground Plant Protection Service Indiana Utility Regulatory Commission By: By: Title: Executive Director Title: Chairman Date: 9/18/2023 9/13/2023 | 09:07 13:29 EDT Date: 9/18/2023 9/15/2023 | 10:15 16:25 EDT Electronically Approved by: Department of Administration By: (for) ▇▇▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇, Commissioner Electronically Approved by: State Budget Agency By: (for) ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇, Director Approved as to Form and Legality: Office of Attorney General Form approval has been granted by the Office of the Attorney General pursuant to IC 4-13-2-14.3(e) on February 23, 2023 FA 23-03

Appears in 2 contracts

Sources: Grant Agreement, Grant Agreement

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts DatabaseDatabas e: ▇▇▇▇▇://▇▇▇▇▇▇.▇▇.▇▇▇/apps/idoa/contractsearch/. Indiana Underground Plant Protection Service Ohio Valley Gas Corporation Indiana Utility Regulatory Commission By: By: Title: Executive Director Safety Administrator Title: Chairman Date: 9/18/2023 11/28/2023 | 09:07 EDT 13:33 PST Date: 9/18/2023 11/28/2023 | 10:15 EDT 16:34 EST Electronically Approved by: Department of Administration By: (for) ▇▇▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇, Commissioner Electronically Approved by: State Budget Agency By: (for) ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇, Director Approved as to Form and Legality: Office of Attorney General Form approval has been granted by the Office of the Attorney General pursuant to IC 4-13-2-14.3(e) on February 23, 2023 FA 23-03

Appears in 2 contracts

Sources: Grant Agreement, Grant Agreement

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: ▇▇▇▇▇://▇▇▇▇▇▇.▇▇.▇▇▇/apps/idoa/contractsearch/. Indiana Underground Plant Protection Service Indiana Utility Regulatory Commission By: By: Title: Executive Director Title: Chairman Date: 9/18/2023 12/4/2023 | 09:07 EDT 08:47 EST Date: 9/18/2023 12/4/2023 | 10:15 EDT 14:42 EST Electronically Approved by: Department of Administration By: (for) ▇▇▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇erda, Commissioner Electronically Approved by: State Budget Agency By: (for) ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇, Director Approved as to Form and Legality: Office of Attorney General Form approval has been granted by the Office of the Attorney General pursuant to IC 4-13-2-14.3(e) on February 23, 2023 FA 23-03

Appears in 2 contracts

Sources: Grant Agreement, Grant Agreement

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: ▇▇▇▇▇://▇▇.▇▇▇▇.▇▇.▇▇▇/apps/psp/idoaguest/contractsearch/. Indiana Underground Plant Protection Service Indiana Utility Regulatory Commission SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNTRCT S.GBL By: _ By: Title_ Printed Name: Executive Director Title_ Printed Name: Chairman ▇▇▇▇▇ ▇. ▇▇▇▇▇▇ Date: 9/18/2023 | 09:07 EDT _ _ Date: 9/18/2023 | 10:15 EDT _ Electronically Approved by: Department of Administration By: (for) ▇▇▇▇▇▇ ▇. ▇▇ ▇▇▇▇, Commissioner Electronically Approved by: State Budget Agency By: (for) ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇, Director Approved as to Form and Legality: Office of Attorney General Form approval has been granted by the Office of the Attorney General pursuant to IC 4-13-2-14.3(e) on February 23July 2, 2023 2020. FA 2320-0335

Appears in 2 contracts

Sources: Grant Agreement, Grant Agreement

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts DatabaseDatabas e: ▇▇▇▇▇://▇▇▇▇▇▇.▇▇.▇▇▇/apps/idoa/contractsearch/. Indiana Underground Plant Protection Service Indiana Utility Regulatory Commission By: By: Printed Name: Printed Name: Title: Executive Director Date: Manager of Safety and Resources 1/5/2023 | 13:49 PST Title: Chairman Date: 9/18/2023 Chairman 1/10/2023 | 09:07 EDT Date: 9/18/2023 | 10:15 EDT 16:31 EST _ Electronically Approved by: Department of Administration By: (for) ▇▇▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇, Commissioner Electronically Approved by: State Budget Agency By: (for) ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇, Director Approved as to Form and Legality: Office of Attorney General Form approval has been granted by the Office of the Attorney General pursuant to IC 4-13-2-14.3(e) on February 23April 4, 2023 2022 FA 23-0322- 20

Appears in 2 contracts

Sources: Grant Agreement, Grant Agreement

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: ▇▇▇▇▇://▇▇▇▇▇▇.▇▇.▇▇▇/apps/idoa/contractsearch/. Indiana Underground Plant Protection Service Indiana Utility Regulatory Commission By: _ By: Printed Name: Printed Name: Title: Executive Director Title: Chairman Date: 9/18/2023 1/31/2023 | 09:07 EDT 14:26 EST Date: 9/18/2023 2/6/2023 | 10:15 EDT 16:34 EST _ Electronically Approved by: Department of Administration By: (for) ▇▇▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇, Commissioner Electronically Approved by: State Budget Agency By: (for) ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇, Director Approved as to Form and Legality: Office of Attorney General Form approval has been granted by the Office of the Attorney General pursuant to IC 4-13-2-14.3(e) on February 23April 4, 2023 2022 FA 2322-0320

Appears in 1 contract

Sources: Grant Agreement

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts DatabaseDatabas e: ▇▇▇▇▇://▇▇▇▇▇▇.▇▇.▇▇▇/apps/idoa/contractsearch/. Indiana Underground Plant Protection Service Indiana Utility Regulatory Commission By: By: Printed Name: Printed Name: Title: Date: Executive Director 2/14/2023 | 16:54 EST Title: Chairman Date: 9/18/2023 Chairman 2/19/2023 | 09:07 EDT Date: 9/18/2023 | 10:15 EDT 15:52 EST _ Electronically Approved by: Department of Administration By: (for) ▇▇▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇, Commissioner Electronically Approved by: State Budget Agency By: (for) ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇, Director Approved as to Form and Legality: Office of Attorney General Form approval has been granted by the Office of the Attorney General pursuant to IC 4-13-2-14.3(e) on February 23April 4, 2023 2022 FA 23-0322- 20

Appears in 1 contract

Sources: Grant Agreement

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: ▇▇▇▇▇://▇▇▇▇▇▇.▇▇.▇▇▇/apps/idoa/contractsearch/. Indiana Underground Plant Protection Service Indiana Utility Regulatory Commission contractsearch/ na Family & Social By: Anthem insurance Companies Inc. India Services Administration By: Title: Executive Director President, Anthem IN Medicaid Title: Chairman Medicaid director Date: 9/18/2023 1/11/2023 | 09:07 EDT 14:18 PST Date: 9/18/2023 1/11/2023 | 10:15 EDT 17:29 EST Electronically Approved by: Department of Administration By: (for) ▇▇▇▇▇▇▇ ▇▇▇▇▇▇▇, Commissioner Electronically Approved by: State Budget Agency By: (for) ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇, Director Electronically Approved as to Form and LegalityLegality by: Office of Attorney General Form approval has been granted by the Office of the Attorney General pursuant to IC 4-13-2-14.3(eBy: (for) on February 23▇▇▇▇▇▇▇▇ ▇ ▇▇▇▇▇▇, 2023 FA 23-03Attorney General

Appears in 1 contract

Sources: Contract

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts DatabaseDatabas e: ▇▇▇▇▇://▇▇▇▇▇▇.▇▇.▇▇▇/apps/idoa/contractsearch/. Indiana Underground Plant Protection Service Indiana Utility Regulatory Commission By: By: TitlePrinted Name: Printed Name: Executive Director 9/12/2022 | 15:29 EDT Title: Chairman Date: 9/18/2023 Chairman 9/14/2022 | 09:07 15:30 EDT Date: 9/18/2023 | 10:15 EDT _ Electronically Approved by: Department of Administration By: (for) ▇▇▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇, Commissioner Electronically Approved by: State Budget Agency By: (for) ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇, Director Approved as to Form and Legality: Office of Attorney General Form approval has been granted by the Office of the Attorney General pursuant to IC 4-13-2-14.3(e) on February 23April 4, 2023 2022 FA 23-0322- 20

Appears in 1 contract

Sources: Grant Agreement

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: ▇▇▇▇▇://▇▇.▇▇▇▇.▇▇.▇▇▇/apps/psp/idoapa91prd/contractsearch/. Indiana Underground Plant Protection Service Indiana Utility Regulatory Commission EMPLOYEE/EMPL/h/?tab=PAPP_GUEST By: By: Title: ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇ Executive Director Name and Title: Chairman , Printed Date: 9/18/2023 | 09:07 EDT 8/22/2019 ▇▇▇▇▇ ▇. ▇▇▇▇▇▇ ▇▇▇▇▇ ▇. ▇▇▇▇▇▇ Chairman, IURC Date: 9/18/2023 | 10:15 EDT 8-27-19 Electronically Approved by: Department of Administration By: (for) ▇▇▇▇▇▇ ▇. ▇▇ ▇▇▇▇, Commissioner Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: State Budget Agency By: (for) ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Approved as to Form and Legality: Office of Attorney General Form approval has been granted by the Office of the Attorney General pursuant to IC 4-13-2-14.3(e) on February 23May 13, 2023 2019. FA 2319-0316

Appears in 1 contract

Sources: Grant Agreement

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: ▇▇▇▇▇://▇▇▇▇▇▇.▇▇.▇▇▇/apps/idoa/contractsearch/. Indiana Underground Plant Protection Service Indiana Utility Regulatory Commission contractsearch/ TOWN OF LIZTON By: Indiana Office of Community and Rural Affairs Title: Council President By: Title: Executive Director Title: Chairman Date: 9/18/2023 11/7/2022 | 09:07 EDT 17:03 EST Date: 9/18/2023 11/9/2022 | 10:15 EDT 08:02 EST Electronically Approved by: Department of Administration By: (for) ▇▇▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇erda, Commissioner Electronically Approved by: State Budget Agency By: (for) ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇, Director Electronically Approved as to Form and LegalityLegality by: Office of Attorney General Form approval has been granted by the Office of the Attorney General pursuant to IC 4By: (for) ▇▇▇▇▇▇▇▇ ▇ ▇▇▇▇▇▇, Attorney General CURRENT AWARD - WW-22-13-2-14.3(e) on February 23, 2023 FA 23-03104 - $700,000.00 TOTAL AMOUNT OF AWARDED FUNDS $700,000.00 PROJECT DESCRIPTION

Appears in 1 contract

Sources: Grant Agreement

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: ▇▇▇▇▇://▇▇▇▇▇▇.▇▇.▇▇▇/apps/idoa/contractsearch/. Indiana Underground Plant Protection Service contractsearch/ Children’s Museum of Indianapolis By: Indiana Utility Regulatory Commission President and CEO By: By: Title: Executive Director Title: Chairman Date: 9/18/2023 7/27/2022 | 09:07 17:37 EDT Date: 9/18/2023 8/1/2022 | 10:15 14:19 EDT Electronically Approved by: Department of Administration By: (for) ▇▇▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇erda, Commissioner Electronically Approved by: State Budget Agency By: (for) ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇, Director Electronically Approved as to Form and LegalityLegality by: Office of Attorney General Form approval has been granted by the Office of the Attorney General pursuant to IC 4-13-2-14.3(eBy: (for) on February 23▇▇▇▇▇▇▇▇ ▇ ▇▇▇▇▇▇, 2023 FA 23-03Attorney General

Appears in 1 contract

Sources: Professional Services

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: ▇▇▇▇▇://▇▇▇▇▇▇.▇▇.▇▇▇/apps/idoa/contractsearch/. contractsearch/ ▇▇▇▇▇ ▇▇▇▇▇▇▇▇▇ MENTAL Indiana Underground Plant Protection Service Indiana Utility Regulatory Commission Family and Social Services HEALTH INC Administration, Division of Mental Health By: and Addiction By: Title: Executive Director CEO Title: Chairman Director Date: 9/18/2023 3/7/2023 | 09:07 EDT 09:38 EST Date: 9/18/2023 3/7/2023 | 10:15 EDT 07:00 PST Electronically Approved by: Department of Administration By: (for) ▇▇▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇erda, Commissioner Electronically Approved by: State Budget Agency By: (for) ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇, Director Electronically Approved as to Form and LegalityLegality by: Office of Attorney General Form approval has been granted by the Office of the Attorney General pursuant to IC 4-13-2-14.3(eBy: (for) on February 23▇▇▇▇▇▇▇▇ ▇ ▇▇▇▇▇▇, 2023 FA 23-03Attorney General

Appears in 1 contract

Sources: Professional Services

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: ▇▇▇▇▇://▇▇▇▇▇▇.▇▇.▇▇▇/apps/idoa/contractsearch/. Indiana Underground Plant Protection Service Indiana Utility Regulatory Commission By: _ By: TitlePrinted Name: Printed Name: Executive Director Title: Chairman 1/31/2023 | 14:26 EST Date: 9/18/2023 2/6/2023 | 09:07 EDT Date: 9/18/2023 | 10:15 EDT 16:34 EST _ Electronically Approved by: Department of Administration By: (for) ▇▇▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇, Commissioner Electronically Approved by: State Budget Agency By: (for) ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇, Director Approved as to Form and Legality: Office of Attorney General Form approval has been granted by the Office of the Attorney General pursuant to IC 4-13-2-14.3(e) on February 23April 4, 2023 2022 FA 2322-0320

Appears in 1 contract

Sources: Grant Agreement

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: ▇▇▇▇▇://▇▇▇▇▇▇.▇▇.▇▇▇/apps/idoa/contractsearch/. Indiana Underground Plant Protection Service Indiana Utility Regulatory Commission contractsearch/ By: By: Title: Executive Director CEO Title: Chairman Medicaid Director Date: 9/18/2023 9/26/2023 | 09:07 EDT 10:10 PDT Date: 9/18/2023 9/26/2023 | 10:15 13:40 EDT Electronically Approved by: Indiana Office of Technology By: (for) ▇▇▇▇▇ ▇▇▇▇▇▇, Chief Information Officer Electronically Approved by: Department of Administration By: (for) ▇▇▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇, Commissioner Electronically Approved by: State Budget Agency By: (for) ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇, Director Electronically Approved as to Form and Legality: Office of Attorney General Form approval has been granted by the Office of the Attorney General pursuant to IC 4-13-2-14.3(eBy: (for) on February 23▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇, 2023 FA 23-03Attorney General

Appears in 1 contract

Sources: Contract

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts DatabaseDatabas e: ▇▇▇▇▇://▇▇▇▇▇▇.▇▇.▇▇▇/apps/idoa/contractsearch/. Indiana Underground Plant Protection Service Indiana Utility Regulatory Commission By: By: TitlePrinted Name: Executive Director Printed Name: Worker Title: Chairman Date: 9/18/2023 7/15/2022 | 09:07 10:32 EDT Date: 9/18/2023 7/15/2022 | 10:15 12:56 EDT _ Electronically Approved by: Department of Administration By: (for) ▇▇▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇, Commissioner Electronically Approved by: State Budget Agency By: (for) ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇, Director Approved as to Form and Legality: Office of Attorney General Form approval has been granted by the Office of the Attorney General pursuant to IC 4-13-2-14.3(e) on February 23April 4, 2023 2022 FA 23-0322- 20

Appears in 1 contract

Sources: Grant Agreement

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: ▇▇▇▇▇://▇▇▇▇▇▇.▇▇.▇▇▇/apps/idoa/contractsearch/. contractsearch/ United Healthcare Insurance Indiana Underground Plant Protection Service Indiana Utility Regulatory Commission Family and Social Services Administration, By: By: Office of Medicaid Policy and Planning Title: Chief Executive Director Officer Title: Chairman Medicaid Director Date: 9/18/2023 3/26/2024 | 09:07 15:03 EDT Date: 9/18/2023 3/27/2024 | 10:15 06:53 EDT Electronically Approved by: Indiana Office of Technology By: (for) ▇▇▇▇▇ ▇▇▇▇▇▇, Chief Information Officer Electronically Approved by: Department of Administration By: (for) ▇▇▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇, Commissioner Electronically Approved by: State Budget Agency By: (for) ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇, Director Electronically Approved as to Form and Legality: Office of Attorney General Form approval has been granted by the Office of the Attorney General pursuant to IC 4-13-2-14.3(eBy: (for) on February 23▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇, 2023 FA 23-03Attorney General

Appears in 1 contract

Sources: Professional Services

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: ▇▇▇▇▇://▇▇.▇▇▇▇.▇▇.▇▇▇/apps/psp/idoaguest/contractsearch/. SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNTRCTS.GBL Pace Analytical Services, LLC Indiana Underground Plant Protection Service Indiana Utility Regulatory Commission Department of Environmental Management By: By: Title: Executive Director General Manager Title: Chairman Commissioner Date: 9/18/2023 11/17/2021 | 09:07 EDT 13:47 PST Date: 9/18/2023 11/23/2021 | 10:15 EDT 10:34 EST Electronically Approved by: Department of Administration By: (for) ▇▇▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇erda, Commissioner Electronically Approved by: State Budget Agency By: (for) ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇, Director Electronically Approved as to Form and LegalityLegality by: Office of Attorney General Form approval has been granted by the Office of the Attorney General pursuant to IC 4-13-2-14.3(eBy: (for) on February 23▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇, 2023 FA 23-03Attorney General

Appears in 1 contract

Sources: Professional Services Contract

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: ▇▇▇▇▇://▇▇▇▇▇▇.▇▇.▇▇▇/apps/idoa/contractsearch/. Indiana Underground Plant Protection Service Indiana Utility Regulatory Commission By: _ By: _ Printed Name: _ Printed Name: _ Title: Executive Director _ Title: Chairman _ Date: 9/18/2023 | 09:07 EDT _ _ Date: 9/18/2023 | 10:15 EDT _ Electronically Approved by: Department of Administration By: (for) ▇▇▇▇▇▇▇ ▇▇▇▇▇▇▇, Commissioner Electronically Approved by: State Budget Agency By: (for) ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇, Director Approved as to Form and Legality: Office of Attorney General Form approval has been granted by the Office of the Attorney General pursuant to IC 4-13-2-14.3(e) on February 23April 4, 2023 2022 FA 23-0322- 20

Appears in 1 contract

Sources: Grant Agreement

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: ▇▇▇▇▇://▇▇.▇▇▇▇.▇▇.▇▇▇/apps/psp/idoaguest/contractsearch/. Indiana Underground Plant Protection Service Indiana Utility Regulatory Commission SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNTRCTS.GBL? [Grantee] By: [Indiana Agency] By: Name and Title: Executive Director Title: Chairman , Printed Date: 9/18/2023 | 09:07 EDT Name and Title, Printed Date: 9/18/2023 | 10:15 EDT Electronically Approved by: Indiana Department of Administration By: (for) ▇▇▇▇▇▇▇ ▇▇▇▇▇▇▇, Commissioner Electronically Approved byDate: State Budget Agency By: (for) ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇, Director Approved as to Form and LegalityDate: Office of Attorney General Form approval has been granted by the Office of the Attorney General pursuant to IC 4-13-2-14.3(eDate: Indiana Office of Technology By: (for) on February 23▇▇▇▇▇ ▇. ▇▇▇▇▇▇, 2023 FA 23-03Chief Information Officer Date: Guidelines for filing the annual financial report:

Appears in 1 contract

Sources: Grant Agreement

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: ▇▇▇▇▇://▇▇.▇▇▇▇.▇▇.▇▇▇/apps/psp/idoaguest/contractsearch/. Indiana Underground Plant Protection Service Indiana Utility Regulatory Commission SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNTRCT S.GBL CLARK COUNTY HEALTH DEPARTMENT INDIANA DEPARTMENT OF HEALTH By: By: Title: Executive Director Administrator Title: Chairman IDOH Chief of Staff Date: 9/18/2023 9/16/2021 | 09:07 09:19 EDT Date: 9/18/2023 9/16/2021 | 10:15 09:20 EDT Electronically Approved by: Department of Administration By: (for) ▇▇▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇erda, Commissioner Electronically Approved by: State Budget Agency By: (for) ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇, Director Electronically Approved as to Form and LegalityLegality by: Office of Attorney General Form approval has been granted by the Office of the Attorney General pursuant to IC 4-13-2-14.3(eBy: (for) on February 23▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇, 2023 FA 23-03Attorney General

Appears in 1 contract

Sources: Grant Agreement

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: ▇▇▇▇▇://▇▇▇▇▇▇.▇▇.▇▇▇/apps/idoa/contractsearch/. Indiana Underground Plant Protection Service Indiana Utility Regulatory Commission By: By: Title: Executive Director Sr. Vice President Title: Chairman Deputy Commissioner Date: 9/18/2023 6/29/2022 | 09:07 EDT 12:55 PDT Date: 9/18/2023 6/30/2022 | 10:15 08:32 EDT Electronically Approved by: Department of Administration By: (for) ▇▇▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇erda, Commissioner Electronically Approved by: State Budget Agency By: (for) ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇, Director Electronically Approved as to Form and LegalityLegality by: Office of Attorney General Form approval has been granted by the Office of the Attorney General pursuant to IC 4-13-2-14.3(eBy: (for) on February 23▇▇▇▇▇▇▇▇ ▇ ▇▇▇▇▇▇, 2023 FA 23-03Attorney General

Appears in 1 contract

Sources: Consulting Agreement

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts DatabaseDatabas e: ▇▇▇▇▇://▇▇▇▇▇▇.▇▇.▇▇▇/apps/idoa/contractsearch/. Indiana Underground Plant Protection Service Indiana Utility Regulatory Commission By: By: TitlePrinted Name: Printed Name: Executive Director 2/14/2023 | 16:54 EST Title: Chairman Date: 9/18/2023 Chairman 2/19/2023 | 09:07 EDT Date: 9/18/2023 | 10:15 EDT 15:52 EST _ Electronically Approved by: Department of Administration By: (for) ▇▇▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇, Commissioner Electronically Approved by: State Budget Agency By: (for) ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇, Director Approved as to Form and Legality: Office of Attorney General Form approval has been granted by the Office of the Attorney General pursuant to IC 4-13-2-14.3(e) on February 23April 4, 2023 2022 FA 23-0322- 20

Appears in 1 contract

Sources: Grant Agreement

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts DatabaseDatabas e: ▇▇▇▇▇://▇▇▇▇▇▇.▇▇.▇▇▇/apps/idoa/contractsearch/. Indiana Underground Plant Protection Service Indiana Utility Regulatory Commission By: By: Title: Executive Director Title: Chairman Date: 9/18/2023 5/17/2023 | 09:07 15:46 EDT Date: 9/18/2023 5/24/2023 | 10:15 16:39 EDT Electronically Approved by: Department of Administration By: (for) ▇▇▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇, Commissioner Electronically Approved by: State Budget Agency By: (for) ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇, Director Approved as to Form and Legality: Office of Attorney General Form approval has been granted by the Office of the Attorney General pursuant to IC 4-13-2-14.3(e) on February 23, 2023 FA 23-03

Appears in 1 contract

Sources: Grant Agreement

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: ▇▇▇▇▇://▇▇.▇▇▇▇.▇▇.▇▇▇/apps/psp/idoaguest/contractsearch/. SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNTRCT S.GBL By:\s1\ Title:\t1P\resident, Indiana Underground Plant Protection Service Indiana Utility Regulatory Commission By: By: Title: Executive Director Title: Chairman Date: 9/18/2023 Market Date:\d112\/22/2021 | 09:07 EDT Date: 9/18/2023 14:19 EST Title:\t2M\edicaid director Date:\d122\/23/2021 | 10:15 EDT 10:30 EST Electronically Approved by: Department of Administration By: (for) ▇▇▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇Holw erda, Commissioner Electronically Approved by: State Budget Agency By: (for) ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇, Director Electronically Approved as to Form and LegalityLegality by: Office of Attorney General Form approval has been granted by the Office of the Attorney General pursuant to IC 4-13-2-14.3(eBy: (for) on February 23▇▇▇▇▇▇▇▇ ▇ ▇▇▇▇▇▇, 2023 FA 23-03Attorney General

Appears in 1 contract

Sources: Contract Amendment

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: ▇▇▇▇▇://▇▇▇▇▇▇.▇▇.▇▇▇/apps/idoa/contractsearch/. Indiana Underground Plant Protection Service Indiana Utility Regulatory Commission By: By: Title: Executive Director Title: Chairman Date: 9/18/2023 By:\s1\ Title:\t1P\resident, Anthem IN Medicaid Date:\d112\/23/2021 | 09:07 EDT Date: 9/18/2023 10:11 EST Title:\t2M\edicaid director Date:\d122\/23/2021 | 10:15 EDT 10:26 EST Electronically Approved by: Department of Administration By: (for) ▇▇▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇Holw erda, Commissioner Electronically Approved by: State Budget Agency By: (for) ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇, Director Electronically Approved as to Form and LegalityLegality by: Office of Attorney General Form approval has been granted by the Office of the Attorney General pursuant to IC 4-13-2-14.3(eBy: (for) on February 23▇▇▇▇▇▇▇▇ ▇ ▇▇▇▇▇▇, 2023 FA 23-03Attorney General

Appears in 1 contract

Sources: Contract

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: ▇▇▇▇▇://▇▇.▇▇▇▇.▇▇.▇▇▇/apps/psp/idoaguest/contractsearch/. SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNTRCT S.GBL ▇▇▇▇▇ COUNTY Indiana Underground Plant Protection Service Indiana Utility Regulatory Commission Office of Community and Rural Affairs By: By: Title: Executive Director Title: Chairman Date: 9/18/2023 | 09:07 EDT Date: 9/18/2023 | 10:15 EDT Electronically Approved by: Department of Administration By: (for) ▇▇▇▇▇▇ ▇. ▇▇ ▇▇▇▇, Commissioner Electronically Approved by: State Budget Agency By: (for) ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇, Director Electronically Approved as to Form and LegalityLegality by: Office of Attorney General Form approval has been granted by the Office of the Attorney General pursuant to IC 4By: (for) ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇, Attorney General CURRENT AWARD - CV-13CV2-2-14.3(e) on February 23, 2023 FA 23-03310 - $250,000.00 TOTAL AMOUNT OF AWARDED FUNDS $250,000.00 PROJECT DESCRIPTION

Appears in 1 contract

Sources: Grant Agreement

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: ▇▇▇▇▇://▇▇▇▇▇▇.▇▇.▇▇▇/apps/idoa/contractsearch/. contractsearch/ Indiana Underground Plant Protection Service State Fair Commission Indiana Utility Regulatory Commission By: By: Title: Executive Director Title: ISFC Chairman Date: 9/18/2023 4/20/2023 | 09:07 13:52 EDT Date: 9/18/2023 4/28/2023 | 10:15 10:57 EDT Electronically Approved by: Department of Administration By: (for) ▇▇▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇erda, Commissioner Electronically Approved by: State Budget Agency By: (for) ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇, Director Electronically Approved as to Form and LegalityLegality by: Office of Attorney General Form approval has been granted by the Office of the Attorney General pursuant to IC 4-13-2-14.3(eBy: (for) on February 23▇▇▇▇▇▇▇▇ ▇ ▇▇▇▇▇▇, 2023 FA 23-03Attorney General FOR THE SPONSORSHIP EVENT, THE COMMISSION AND THE SPONSOR AGREE TO THE FOLLOWING:

Appears in 1 contract

Sources: Professional Services

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts DatabaseDatabas e: ▇▇▇▇▇://▇▇▇▇▇▇.▇▇.▇▇▇/apps/idoa/contractsearch/. Indiana Underground Plant Protection Service Indiana Utility Regulatory Commission By: By: Printed Name: Printed Name: Title: Date: Executive Director 9/12/2022 | 15:29 EDT Title: Chairman Date: 9/18/2023 Chairman 9/14/2022 | 09:07 15:30 EDT Date: 9/18/2023 | 10:15 EDT _ Electronically Approved by: Department of Administration By: (for) ▇▇▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇, Commissioner Electronically Approved by: State Budget Agency By: (for) ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇, Director Approved as to Form and Legality: Office of Attorney General Form approval has been granted by the Office of the Attorney General pursuant to IC 4-13-2-14.3(e) on February 23April 4, 2023 2022 FA 23-0322- 20

Appears in 1 contract

Sources: Grant Agreement

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts DatabaseDatabas e: ▇▇▇▇▇://▇▇▇▇▇▇.▇▇.▇▇▇/apps/idoa/contractsearch/. Indiana Underground Plant Protection Service Indiana Utility Regulatory Commission By: By: Printed Name: Printed Name: Title: Date: Executive Director 9/12/2022 | 15:33 EDT Title: Chairman Date: 9/18/2023 Chairman 9/14/2022 | 09:07 15:31 EDT Date: 9/18/2023 | 10:15 EDT _ Electronically Approved by: Department of Administration By: (for) ▇▇▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇, Commissioner Electronically Approved by: State Budget Agency By: (for) ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇, Director Approved as to Form and Legality: Office of Attorney General Form approval has been granted by the Office of the Attorney General pursuant to IC 4-13-2-14.3(e) on February 23April 4, 2023 2022 FA 23-0322- 20

Appears in 1 contract

Sources: Grant Agreement

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: ▇▇▇▇▇://▇▇▇▇▇▇.▇▇.▇▇▇/apps/idoa/contractsearch/. Indiana Underground Plant Protection Service 811 Outdoors LLC Indiana Utility Regulatory Commission By: By: TitlePrinted Name: Executive Director Printed Name: ▇▇▇▇ ▇▇▇▇▇ Title: Chairman 11/3/2022 | 17:39 PDT Date: 9/18/2023 11/10/2022 | 09:07 EDT Date: 9/18/2023 | 10:15 EDT 16:47 EST _ Electronically Approved by: Department of Administration By: (for) ▇▇▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇, Commissioner Electronically Approved by: State Budget Agency By: (for) ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇, Director Approved as to Form and Legality: Office of Attorney General Form approval has been granted by the Office of the Attorney General pursuant to IC 4-13-2-14.3(e) on February 23April 4, 2023 2022 FA 2322-0320

Appears in 1 contract

Sources: Grant Agreement

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: ▇▇▇▇▇://▇▇▇▇▇▇.▇▇.▇▇▇/apps/idoa/contractsearch/. contractsearch/ CLARK COUNTY HEALTH DEPARTMENT Indiana Underground Plant Protection Service Indiana Utility Regulatory Commission Department of Health By: By: Title: Executive Director Administrator Title: Chairman IDOH Chief of Staff Date: 9/18/2023 9/20/2022 | 09:07 12:16 EDT Date: 9/18/2023 9/20/2022 | 10:15 12:18 EDT Electronically Approved by: Department of Administration By: (for) ▇▇▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇erda, Commissioner Electronically Approved by: State Budget Agency By: (for) ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇, Director Electronically Approved as to Form and LegalityLegality by: Office of Attorney General Form approval has been granted by the Office of the Attorney General pursuant to IC 4-13-2-14.3(eBy: (for) on February 23▇▇▇▇▇▇▇▇ ▇ ▇▇▇▇▇▇, 2023 FA 23-03Attorney General Attachment A Clark County Health Department

Appears in 1 contract

Sources: Grant Agreement

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts DatabaseDatabas e: ▇▇▇▇▇://▇▇▇▇▇▇.▇▇.▇▇▇/apps/idoa/contractsearch/. Indiana Underground Plant Protection Service Indiana Utility Regulatory Commission By: By: Title: Executive Director Title: Chairman Date: 9/18/2023 7/15/2024 | 09:07 09:17 EDT Date: 9/18/2023 7/16/2024 | 10:15 14:20 EDT Electronically Approved by: Department of Administration By: (for) ▇▇▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇, Commissioner Electronically Approved by: State Budget Agency By: (for) ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇, Acting State Budget Director Approved as to Form and Legality: Office of Attorney General Form approval has been granted by the Office of the Attorney General pursuant to IC 4-13-2-14.3(e) on February 2313, 2023 2024 FA 2324-0302

Appears in 1 contract

Sources: Grant Agreement

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent equivalen t of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: ▇▇▇▇▇://▇▇▇▇▇▇.▇▇.▇▇▇/apps/idoa/contractsearch/. Indiana Underground Plant Protection Service Indiana Utility Regulatory Commission By: By: Printed Name: Printed Name: Title: Executive Director Title: Chairman Date: 9/18/2023 11/2/2022 | 09:07 09:15 EDT Date: 9/18/2023 11/2/2022 | 10:15 09:25 EDT _ Electronically Approved by: Department of Administration By: (for) ▇▇▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇, Commissioner Electronically Approved by: State Budget Agency By: (for) ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇, Director Approved as to Form and Legality: Office of Attorney General Form approval has been granted by the Office of the Attorney General pursuant to IC 4-13-2-14.3(e) on February 23April 4, 2023 2022 FA 23-0322- 20

Appears in 1 contract

Sources: Grant Agreement

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: ▇▇▇▇▇://▇▇.▇▇▇▇.▇▇.▇▇▇/apps/psp/idoaguest/contractsearch/. Indiana Underground Plant Protection Service Indiana Utility Regulatory Commission By: By: SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNTRCT S.GBL By:_Tim ▇▇▇▇▇▇▇ Vice President Name and Title: Executive Director Title: Chairman , Printed Date: 9/18/2023 | 09:07 EDT 4/23/20 _ ▇▇▇▇▇ ▇ ▇▇▇▇▇▇, Chairman ▇▇▇▇▇ ▇. ▇▇▇▇▇▇, Chairman _ Date: 9/18/2023 | 10:15 EDT April 23, 2020 _ Electronically Approved by: Department of Administration By: (for) ▇▇▇▇▇▇ ▇. ▇▇ ▇▇▇▇, Commissioner Electronically Approved by: State Budget Agency By: (for) ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇, Director Approved as to Form and Legality: Office of Attorney General Form approval has been granted by the Office of the Attorney General pursuant to IC 4-13-2-14.3(e) on February 23May 13, 2023 2019. FA 2319-0316

Appears in 1 contract

Sources: Grant Agreement

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts DatabaseDatabas e: ▇▇▇▇▇://▇▇▇▇▇▇.▇▇.▇▇▇/apps/idoa/contractsearch/. Indiana Underground Plant Protection Service Indiana Utility Regulatory Commission By: By: Printed Name: Printed Name: Title: Executive Director Date: Manager of Safety and Resources 1/6/2023 | 08:03 PST Title: Chairman Date: 9/18/2023 Chairman 1/10/2023 | 09:07 EDT Date: 9/18/2023 | 10:15 EDT 17:24 EST _ Electronically Approved by: Department of Administration By: (for) ▇▇▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇, Commissioner Electronically Approved by: State Budget Agency By: (for) ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇, Director Approved as to Form and Legality: Office of Attorney General Form approval has been granted by the Office of the Attorney General pursuant to IC 4-13-2-14.3(e) on February 23April 4, 2023 2022 FA 23-0322- 20

Appears in 1 contract

Sources: Grant Agreement

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: ▇▇▇▇▇://▇▇▇▇▇▇.▇▇.▇▇▇/apps/idoa/contractsearch/. Indiana Underground Plant Protection Service Indiana Utility Regulatory Commission By: contractsearch/ By: Title: Executive Director President, Indiana Market By: Title: Chairman Medicaid Director Date: 9/18/2023 9/22/2023 | 09:07 09:03 EDT Date: 9/18/2023 9/22/2023 | 10:15 09:47 EDT Electronically Approved by: Indiana Office of Technology By: (for) ▇▇▇▇▇ ▇▇▇▇▇▇, Chief Information Officer Electronically Approved by: Department of Administration By: (for) ▇▇▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇, Commissioner Electronically Approved by: State Budget Agency By: (for) ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇, Director Electronically Approved as to Form and Legality: Office of Attorney General Form approval has been granted by the Office of the Attorney General pursuant to IC 4-13-2-14.3(eBy: (for) on February 23▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇, 2023 FA 23-03Attorney General

Appears in 1 contract

Sources: Contract for Providing Risk Based Managed Care Services

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts DatabaseDatabas e: ▇▇▇▇▇://▇▇▇▇▇▇.▇▇.▇▇▇/apps/idoa/contractsearch/. Indiana Underground Plant Protection Service Indiana Utility Regulatory Commission By: By: Title: Executive Utility Director Title: Chairman Date: 9/18/2023 7/5/2023 | 09:07 EDT 11:34 PDT Date: 9/18/2023 7/11/2023 | 10:15 09:58 EDT Electronically Approved by: Department of Administration By: (for) ▇▇▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇, Commissioner Electronically Approved by: State Budget Agency By: (for) ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇, Director Approved as to Form and Legality: Office of Attorney General Form approval has been granted by the Office of the Attorney General pursuant to IC 4-13-2-14.3(e) on February 23, 2023 FA 23-03

Appears in 1 contract

Sources: Grant Agreement

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: ▇▇▇▇▇://▇▇▇▇▇▇.▇▇.▇▇▇/apps/idoa/contractsearch/. Indiana Underground Plant Protection Service Indiana Utility Regulatory Commission contractsearch/ By: By: Title: Executive Director President and CEO Title: Chairman Medicaid Director Date: 9/18/2023 9/27/2024 | 09:07 09:06 EDT Date: 9/18/2023 9/27/2024 | 10:15 09:09 EDT Electronically Approved by:Indiana Office of Technology By: (for)▇▇▇▇▇ ▇▇▇▇▇▇, Chief Information Officer Electronically Approved by:Department of Administration By: (for) )▇▇▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇, Commissioner Electronically Approved by: :State Budget Agency By: (for) )▇▇▇▇▇▇ ▇. ▇▇▇▇▇, Acting State Budget Director Electronically Approved as to Form and Legality:Office of the Attorney General By: (for)▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇, Director Approved as to Form and Legality: Office of Attorney General Form approval has been granted by the Office of the Attorney General pursuant to IC 4-13-2-14.3(e) on February 23, 2023 FA 23-03General

Appears in 1 contract

Sources: Amendment to Contract

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: ▇▇▇▇▇://▇▇▇▇▇▇.▇▇.▇▇▇/apps/idoa/contractsearch/. Indiana Underground Plant Protection Service Indiana Utility Regulatory Commission contractsearch/ SHI INTERNATIONAL CORP By: INDIANA OFFICE OF TECHNOLOGY By: Title: Executive Director Title: Chairman Sr. Manager - Contracts Chief Information Officer Date: 9/18/2023 1/31/2023 | 09:07 EDT 15:55 EST Date: 9/18/2023 1/31/2023 | 10:15 EDT 16:08 EST Electronically Approved by: Indiana Office of Technology By: (for) ▇▇▇▇▇ ▇▇▇▇▇▇, Chief Information Officer Electronically Approved by: Department of Administration By: (for) ▇▇▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇, Commissioner Electronically Approved by: State Budget Agency By: (for) ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇, Director Electronically Approved as to Form and Legality: Office of Attorney General Form approval has been granted by the Office of the Attorney General pursuant to IC 4-13-2-14.3(eBy: (for) on February 23▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇, 2023 FA 23-03Attorney General

Appears in 1 contract

Sources: Professional Services

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: ▇▇▇▇▇://▇▇▇▇▇▇.▇▇.▇▇▇/apps/idoa/contractsearch/. Indiana Underground Plant Protection Service Indiana Utility Regulatory Commission contractsearch/ na Family & Social By: Coordinated Care Corporation India Services Administration By: Title: Executive Director CEO Title: Chairman Medicaid director Date: 9/18/2023 1/12/2023 | 09:07 EDT 16:22 CST Date: 9/18/2023 1/19/2023 | 10:15 EDT 12:07 EST Electronically Approved by: Department of Administration By: (for) ▇▇▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇erda, Commissioner Electronically Approved by: State Budget Agency By: (for) ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇, Director Electronically Approved as to Form and LegalityLegality by: Office of Attorney General Form approval has been granted by the Office of the Attorney General pursuant to IC 4-13-2-14.3(eBy: (for) on February 23▇▇▇▇▇▇▇▇ ▇ ▇▇▇▇▇▇, 2023 FA 23-03Attorney General

Appears in 1 contract

Sources: Contract

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: ▇▇▇▇▇://▇▇▇▇▇▇.▇▇.▇▇▇/apps/idoa/contractsearch/. Indiana Underground Plant Protection Service Indiana Utility Regulatory Commission By: By: Title: Executive Director Title: Chairman Date: 9/18/2023 2/11/2025 | 09:07 EDT 11:05 EST Date: 9/18/2023 2/21/2025 | 10:15 EDT 16:47 EST Electronically Approved by: Department of Administration By: (for) ▇▇▇▇▇▇▇ ▇▇▇▇▇▇▇, Commissioner Electronically Approved by: State Budget Agency By: (for) ▇▇▇▇▇▇▇. ▇▇▇▇▇▇▇, State Budget Director Approved as to Form and Legality: Office of Attorney General Form approval has been granted by the Office of the Attorney General pursuant to IC 4-13-2-14.3(e) on February 2313, 2023 2024 FA 2324-0302 ↵ Exhibit A Exhibit B Grant Application # (for IURC use only) Spring semester pre and post surveys showed an increase of 811 awareness by 32% and an overall understanding of who Indiana 811 is by 55%

Appears in 1 contract

Sources: Grant Agreement

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts DatabaseDatabas e: ▇▇▇▇▇://▇▇▇▇▇▇.▇▇.▇▇▇/apps/idoa/contractsearch/. Indiana Underground Plant Protection Service Indiana Utility Regulatory Commission By: By: TitlePrinted Name: Printed Name: Executive Director 9/12/2022 | 15:33 EDT Title: Chairman Date: 9/18/2023 Chairman 9/14/2022 | 09:07 15:31 EDT Date: 9/18/2023 | 10:15 EDT _ Electronically Approved by: Department of Administration By: (for) ▇▇▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇, Commissioner Electronically Approved by: State Budget Agency By: (for) ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇, Director Approved as to Form and Legality: Office of Attorney General Form approval has been granted by the Office of the Attorney General pursuant to IC 4-13-2-14.3(e) on February 23April 4, 2023 2022 FA 23-0322- 20

Appears in 1 contract

Sources: Grant Agreement

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts DatabaseDatabas e: ▇▇▇▇▇://▇▇▇▇▇▇.▇▇.▇▇▇/apps/idoa/contractsearch/. Indiana Underground Plant Protection Service Constructors, Inc. Indiana Utility Regulatory Commission By: By: Title: Executive Director Director, Safety & Training Title: Chairman Date: 9/18/2023 11/20/2023 | 09:07 EDT 12:08 EST Date: 9/18/2023 11/28/2023 | 10:15 EDT 16:35 EST Electronically Approved by: Department of Administration By: (for) ▇▇▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇erda, Commissioner Electronically Approved by: State Budget Agency By: (for) ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇, Director Approved as to Form and Legality: Office of Attorney General Form approval has been granted by the Office of the Attorney General pursuant to IC 4-13-2-14.3(e) on February 23, 2023 FA 23-03

Appears in 1 contract

Sources: Grant Agreement

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: ▇▇▇▇▇://▇▇.▇▇▇▇.▇▇.▇▇▇/apps/psp/idoaguest/contractsearch/. Indiana Underground Plant Protection Service Indiana Utility Regulatory Commission SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNTRCT S.GBL By: By: Title: Executive Director President and CEO Title: Chairman Medicaid director Date: 9/18/2023 12/23/2021 | 09:07 EDT 08:35 EST Date: 9/18/2023 12/23/2021 | 10:15 EDT 10:21 EST Electronically Approved by: Indiana Office of Technology By: (for) ▇▇▇▇▇ ▇▇▇▇▇▇, Chief Information Officer Electronically Approved by: Department of Administration By: (for) ▇▇▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇Holw erda, Commissioner Electronically Approved by: State Budget Agency By: (for) ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇, Director Electronically Approved as to Form and Legality: Office of Attorney General Form approval has been granted by the Office of the Attorney General pursuant to IC 4-13-2-14.3(eBy: (for) on February 23▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇, 2023 FA 23-03Attorney General

Appears in 1 contract

Sources: Contract

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: ▇▇▇▇▇://▇▇▇▇▇▇.▇▇.▇▇▇/apps/idoa/contractsearch/. contractsearch/ Indiana Underground Plant Protection Service Indiana Utility Regulatory Commission Office of Technology By: INDIANA INTERACTIVE LLC By: Title: Executive Director President Title: Chairman Chief Information Officer Date: 9/18/2023 5/8/2024 | 09:07 EDT 16:13 CDT Date: 9/18/2023 5/17/2024 | 10:15 13:21 EDT Electronically Approved by: Indiana Office of Technology By: (for) ▇▇▇▇▇ ▇▇▇▇▇▇, Chief Information Officer Electronically Approved by: Department of Administration By: (for) ▇▇▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇, Commissioner Electronically Approved by: State Budget Agency By: (for) ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇, Director Electronically Approved as to Form and Legality: Office of Attorney General Form approval has been granted by the Office of the Attorney General pursuant to IC 4-13-2-14.3(eBy: (for) on February 23▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇, 2023 FA 23-03Attorney General

Appears in 1 contract

Sources: Professional Services

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: ▇▇▇▇▇://▇▇▇▇▇▇.▇▇.▇▇▇/apps/idoa/contractsearch/. contractsearch/ GOODWILL INDUSTRIES OF CENTRAL AND Indiana Underground Plant Protection Service Indiana Utility Regulatory Commission Department of Health SOUTHERN INDIANA By: By: Title: Executive Director President and CEO Title: Chairman IDOH Chief of Staff Date: 9/18/2023 1/25/2023 | 09:07 EDT 06:31 PST Date: 9/18/2023 1/25/2023 | 10:15 EDT 18:18 EST Electronically Approved by: Department of Administration By: (for) ▇▇▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇erda, Commissioner Electronically Approved by: State Budget Agency By: (for) ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇, Director Electronically Approved as to Form and LegalityLegality by: Office of Attorney General Form approval has been granted by the Office of the Attorney General pursuant to IC 4-13-2-14.3(eBy: (for) on February 23▇▇▇▇▇▇▇▇ ▇ ▇▇▇▇▇▇, 2023 FA 23-03Attorney General

Appears in 1 contract

Sources: Grant Agreement

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: ▇▇▇▇▇://▇▇▇▇▇▇.▇▇.▇▇▇/apps/idoa/contractsearch/. Indiana Underground Plant Protection Service Indiana Utility Regulatory Commission By: By: _ Printed Name: _ Printed Name: _ Title: Executive Director _ Title: Chairman _ Date: 9/18/2023 | 09:07 EDT _ _ Date: 9/18/2023 | 10:15 EDT _ Electronically Approved by: Department of Administration By: (for) ▇▇▇▇▇▇▇ ▇▇▇▇▇▇▇, Commissioner Electronically Approved by: State Budget Agency By: (for) ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇, Director Approved as to Form and Legality: Office of Attorney General Form approval has been granted by the Office of the Attorney General pursuant to IC 4-13-2-14.3(e) on February 23April 4, 2023 2022 FA 23-0322- 20

Appears in 1 contract

Sources: Grant Agreement

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts DatabaseDatabas e: ▇▇▇▇▇://▇▇▇▇▇▇.▇▇.▇▇▇/apps/idoa/contractsearch/. Indiana Underground Plant Protection Service Selge Construction Company Inc. Indiana Utility Regulatory Commission By: By: Title: Executive Director Manager of Safety and Resources Title: Chairman Date: 9/18/2023 4/9/2024 | 09:07 EDT 08:25 PDT Date: 9/18/2023 4/9/2024 | 10:15 13:33 EDT Electronically Approved by: Department of Administration By: (for) ▇▇▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇erda, Commissioner Electronically Approved by: State Budget Agency By: (for) ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇, Acting State Budget Director Approved as to Form and Legality: Office of Attorney General Form approval has been granted by the Office of the Attorney General pursuant to IC 4-13-2-14.3(e) on February 2313, 2023 2024 FA 2324-0302

Appears in 1 contract

Sources: Grant Agreement

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: ▇▇▇▇▇://▇▇.▇▇▇▇.▇▇.▇▇▇/apps/psp/idoaguest/contractsearch/. Indiana Underground Plant Protection Service Indiana Utility Regulatory Commission SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNTRCT S.GBL By: By: Title: Executive Director CEO Title: Chairman Medicaid director 12/28/2021 | 13:49 CST Date: 9/18/2023 | 09:07 EDT Date: 9/18/2023 12/28/2021 | 10:15 EDT 14:51 EST Electronically Approved by: Indiana Office of Technology By: (for) ▇▇▇▇▇ ▇▇▇▇▇▇, Chief Information Officer Electronically Approved by: Department of Administration By: (for) ▇▇▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇Holw erda, Commissioner Electronically Approved by: State Budget Agency By: (for) ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇, Director Electronically Approved as to Form and Legality: Office of Attorney General Form approval has been granted by the Office of the Attorney General pursuant to IC 4-13-2-14.3(eBy: (for) on February 23▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇, 2023 FA 23-03Attorney General

Appears in 1 contract

Sources: Contract Amendment

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: ▇▇▇▇▇://▇▇▇▇▇▇.▇▇.▇▇▇/apps/idoa/contractsearch/. contractsearch/ ONPOINT HEALTH DATA Indiana Underground Plant Protection Service Indiana Utility Regulatory Commission Department of Insurance By: By: Title: Executive Director Date: President/CEO 1/6/2023 | 15:26 EST Title: Chairman Date: 9/18/2023 CFO 1/9/2023 | 09:07 EDT Date07:42 EST Electronically Approved by: 9/18/2023 | 10:15 EDT Indiana Office of Technology By: (for) ▇▇▇▇▇ ▇▇▇▇▇▇, Chief Information Officer Electronically Approved by: Department of Administration By: (for) ▇▇▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇, Commissioner Electronically Approved by: State Budget Agency By: (for) ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇, Director Electronically Approved as to Form and Legality: Office of Attorney General Form approval has been granted by the Office of the Attorney General pursuant to IC 4-13-2-14.3(eBy: (for) on February 23▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇, 2023 FA 23-03Attorney General

Appears in 1 contract

Sources: Professional Services

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts DatabaseDatabas e: ▇▇▇▇▇://▇▇.▇▇▇▇.▇▇.▇▇▇/apps/psp/idoaguest/contractsearch/. Indiana Underground Plant Protection Service Indiana Utility Regulatory Commission SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNTRCTS.GBL ? By: By: Printed Name: Printed Name: Title: Executive Director Date: Vice President o_f Operations 1/3/2022 | 12:41 PST Title: Chairman Date: 9/18/2023 Chairman 1/4/2022 | 09:07 EDT Date: 9/18/2023 | 10:15 EDT 11:15 EST _ Electronically Approved by: Department of Administration By: (for) ▇▇▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇Holw erda, Commissioner Electronically Approved by: State Budget Agency By: (for) ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇, Director Approved as to Form and Legality: Office of Attorney General Form approval has been granted by the Office of the Attorney General pursuant to IC 4-13-2-14.3(e) on February 23September 2, 2023 2021. FA 2321-0345

Appears in 1 contract

Sources: Grant Agreement

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts DatabaseDatabas e: ▇▇▇▇▇://▇▇▇▇▇▇.▇▇.▇▇▇/apps/idoa/contractsearch/. Indiana Underground Plant Protection Service GradEx Inc. Indiana Utility Regulatory Commission By: By: Title: Executive Director Senior Safety Manager Title: Chairman Date: 9/18/2023 3/12/2024 | 09:07 10:06 EDT Date: 9/18/2023 3/12/2024 | 10:15 10:55 EDT Electronically Approved by: Department of Administration By: (for) ▇▇▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇, Commissioner Electronically Approved by: State Budget Agency By: (for) ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇, Director Approved as to Form and Legality: Office of Attorney General Form approval has been granted by the Office of the Attorney General pursuant to IC 4-13-2-14.3(e) on February 2313, 2023 2024 FA 2324-0302

Appears in 1 contract

Sources: Grant Agreement

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts DatabaseDatabas e: ▇▇▇▇▇://▇▇▇▇▇▇.▇▇.▇▇▇/apps/idoa/contractsearch/. Indiana Underground Plant Protection Service Indiana Utility Regulatory Commission By: By: Title: Executive Director Title: Chairman Date: 9/18/2023 5/12/2023 | 09:07 10:16 EDT Date: 9/18/2023 5/16/2023 | 10:15 15:49 EDT Electronically Approved by: Department of Administration By: (for) ▇▇▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇erda, Commissioner Electronically Approved by: State Budget Agency By: (for) ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇, Director Approved as to Form and Legality: Office of Attorney General Form approval has been granted by the Office of the Attorney General pursuant to IC 4-13-2-14.3(e) on February 23, 2023 FA 23-03

Appears in 1 contract

Sources: Grant Agreement

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts DatabaseDatabas e: ▇▇▇▇▇://▇▇▇▇▇▇.▇▇.▇▇▇/apps/idoa/contractsearch/. Indiana Underground Plant Protection Service contractsearch/ 360WATER INC By: Indiana Utility Regulatory Commission By: By: Title: Executive Director Title: President Chairman Date: 9/18/2023 4/6/2022 | 09:07 EDT 16:10 PDT Date: 9/18/2023 4/7/2022 | 10:15 16:17 EDT Electronically Approved by: Indiana Office of Technology By: (for) ▇▇▇▇▇ ▇▇▇▇▇▇, Chief Information Officer Electronically Approved by: Department of Administration By: (for) ▇▇▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇, Commissioner Electronically Approved by: State Budget Agency By: (for) ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇, Director Electronically Approved as to Form and Legality: Office of Attorney General Form approval has been granted by the Office of the Attorney General pursuant to IC 4-13-2-14.3(eBy: (for) on ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇, Attorney General Client: 360Water Project: Safedig Phase II Date Submitted: February 23, 2023 FA 23-032022 Version 1.0

Appears in 1 contract

Sources: Contract Amendment

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts DatabaseDatabas e: ▇▇▇▇▇://▇▇▇▇▇▇.▇▇.▇▇▇/apps/idoa/contractsearch/. Indiana Underground Plant Protection Service Indiana Utility Regulatory Commission By: By: Title: Executive Director Gas Superintendent Title: Chairman Date: 9/18/2023 5/16/2024 | 09:07 09:06 EDT Date: 9/18/2023 5/16/2024 | 10:15 16:44 EDT Electronically Approved by: Department of Administration By: (for) ▇▇▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇, Commissioner Electronically Approved by: State Budget Agency By: (for) ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇, Acting State Budget Director Approved as to Form and Legality: Office of Attorney General Form approval has been granted by the Office of the Attorney General pursuant to IC 4-13-2-14.3(e) on February 2313, 2023 2024 FA 2324-0302

Appears in 1 contract

Sources: Grant Agreement

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts DatabaseDatabas e: ▇▇▇▇▇://▇▇▇▇▇▇.▇▇.▇▇▇/apps/idoa/contractsearch/. Indiana Underground Plant Protection Service Indiana Utility Regulatory Commission By: By: TitlePrinted Name: Printed Name: Executive Director 11/7/2022 | 18:01 EST Title: Chairman Date: 9/18/2023 Chairman 11/15/2022 | 09:07 EDT Date: 9/18/2023 | 10:15 EDT 15:35 EST _ Electronically Approved by: Department of Administration By: (for) ▇▇▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇, Commissioner Electronically Approved by: State Budget Agency By: (for) ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇, Director Approved as to Form and Legality: Office of Attorney General Form approval has been granted by the Office of the Attorney General pursuant to IC 4-13-2-14.3(e) on February 23April 4, 2023 2022 FA 23-0322- 20

Appears in 1 contract

Sources: Grant Agreement

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: ▇▇▇▇▇://▇▇▇▇▇▇.▇▇.▇▇▇/apps/idoa/contractsearch/. contractsearch/ MDWISE INC. Indiana Underground Plant Protection Service Indiana Utility Regulatory Commission Family and Social Services Administration, Office of Medicaid Policy and By: Planning By: Title: Executive Director President and CEO Title: Chairman Medicaid Director Date: 9/18/2023 9/27/2023 | 09:07 10:47 EDT Date: 9/18/2023 | 10:15 EDT Electronically Approved by: Indiana Office of Technology By: (for) ▇▇▇▇▇ ▇▇▇▇▇▇, Chief Information Officer Electronically Approved by: Department of Administration By: (for) ▇▇▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇, Commissioner Electronically Approved by: State Budget Agency By: (for) ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇, Director Electronically Approved as to Form and Legality: Office of Attorney General Form approval has been granted by the Office of the Attorney General pursuant to IC 4-13-2-14.3(eBy: (for) on February 23▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇, 2023 FA 23-03Attorney General

Appears in 1 contract

Sources: Contract

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: ▇▇▇▇▇://▇▇.▇▇▇▇.▇▇.▇▇▇/apps/psp/idoaguest/contractsearch/. Indiana SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNTRCT S.GBL ▇▇▇▇▇ Underground Plant Pl y: In ant Protection Service Indiana Utility Regulatory Commission By: B By: Title: Executive Director Execukive Direckor Title: Chairman Date: 9/18/2023 6/22/2020 | 09:07 EDT 05:07 PDT Date: 9/18/2023 6/23/2020 | 10:15 10:27 EDT Electronically Approved by: Department of Administration By: (for) ▇▇▇▇▇▇ ▇. ▇▇ ▇▇▇▇, Commissioner Electronically Approved by: State Budget Agency By: (for) ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇, Director Electronically Approved as to Form and Legality: Office of Attorney General Form approval has been granted by the Office of the Attorney General pursuant to IC 4-13-2-14.3(eBy: (for) on February 23▇▇▇▇▇▇ ▇. ▇▇▇▇, 2023 FA 23-03▇▇., Attorney General

Appears in 1 contract

Sources: Grant Agreement

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: ▇▇▇▇▇://▇▇.▇▇▇▇.▇▇.▇▇▇/apps/psp/idoaguest/contractsearch/. SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNTRCT S.GBL ▇▇▇▇▇ ▇▇▇▇▇▇▇▇▇ MENTAL HEALTH INC Indiana Underground Plant Protection Service Indiana Utility Regulatory Commission Family and Social Services Administration, Division of Mental Health and Addiction By: By: Title: Executive Director Date: President and C.E.O. 5/27/2020 | 07:46 PDT Title: Chairman Date: 9/18/2023 Director 5/29/2020 | 09:07 EDT Date: 9/18/2023 | 10:15 16:10 EDT Electronically Approved by: Department of Administration By: (for) ▇▇▇▇▇▇ ▇. ▇▇ ▇▇▇▇, Commissioner Electronically Approved by: State Budget Agency By: (for) ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇, Director Electronically Approved as to Form and Legality: Office of Attorney General Form approval has been granted by the Office of the Attorney General pursuant to IC 4-13-2-14.3(eBy: (for) on February 23▇▇▇▇▇▇ ▇. ▇▇▇▇, 2023 FA 23-03▇▇., Attorney General

Appears in 1 contract

Sources: Professional Services

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: ▇▇▇▇▇://▇▇.▇▇▇▇.▇▇.▇▇▇/apps/psp/idoapaprd/contractsearch/. Indiana Underground Plant Protection Service Indiana Utility Regulatory Commission EMPLOYEE/EMPL/h/?tab=PAPP_GUEST By: By: ▇▇▇▇▇▇▇▇ ▇▇▇▇, MD, MBA Title: Executive Director Title: Chairman President, Anthem IN Medicaid Date: 9/18/2023 | 09:07 EDT Date: 9/18/2023 | 10:15 EDT 11/26/2019 Electronically Approved by: Department Indiana Office of Administration Technology By: (for) ▇▇▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇, Commissioner Chief Information Officer Electronically Approved by: State Budget Agency By: (for) ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇, Director By: ▇▇▇▇▇▇▇ ▇▇▇▇▇▇ Title: Medicaid Director Date: 11.27.2019 Electronically Approved by: Department of Administration By: (for) ▇▇▇▇▇▇ ▇. ▇▇▇▇▇, Commissioner Electronically Approved as to Form and Legality: Office of Attorney General Form approval has been granted by the Office of the Attorney General pursuant to IC 4-13-2-14.3(eBy: (for) on February 23▇▇▇▇▇▇ ▇. ▇▇▇▇, 2023 FA 23-03▇▇., Attorney General

Appears in 1 contract

Sources: Contract

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: ▇▇▇▇▇://▇▇▇▇▇▇.▇▇.▇▇▇/apps/idoa/contractsearch/. Indiana Underground Plant Protection Service Indiana Utility Regulatory Commission contractsearch/ na Family & Social By: United Healthcare Insurance Company India Services Administration By: Title: Chief Executive Director Officer Title: Chairman Medicaid director Date: 9/18/2023 1/27/2023 | 09:07 EDT 16:10 EST Date: 9/18/2023 1/29/2023 | 10:15 EDT 21:47 EST Electronically Approved by: Department of Administration By: (for) ▇▇▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇erda, Commissioner Electronically Approved by: State Budget Agency By: (for) ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇, Director Electronically Approved as to Form and LegalityLegality by: Office of Attorney General Form approval has been granted by the Office of the Attorney General pursuant to IC 4-13-2-14.3(eBy: (for) on February 23▇▇▇▇▇▇▇▇ ▇ ▇▇▇▇▇▇, 2023 FA 23-03Attorney General

Appears in 1 contract

Sources: Contract

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: ▇▇▇▇▇://▇▇.▇▇▇▇.▇▇.▇▇▇/apps/psp/idoaguest/contractsearch/. SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNTRCT S.GBL Indiana Underground Plant Protection Service Indiana Utility Regulatory Commission State Police By: Fort ▇▇▇▇▇ Police Department By: Title: Executive Director Assistant Chief of Police Title: Chairman Chief Financial Officer Date: 9/18/2023 5/3/2021 | 09:07 13:01 EDT Date: 9/18/2023 5/3/2021 | 10:15 EDT 11:10 PDT Electronically Approved by: Department of Administration By: (for) ▇▇▇▇▇▇ ▇. ▇▇ ▇▇▇▇, Commissioner Electronically Approved by: State Budget Agency By: (for) ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇, Director Electronically Approved as to Form and LegalityLegality by: Office of Attorney General Form approval has been granted by the Office of the Attorney General pursuant to IC 4-13-2-14.3(eBy: (for) on February 23▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇, 2023 FA 23-03Attorney General

Appears in 1 contract

Sources: Grant Agreement

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: ▇▇▇▇▇://▇▇.▇▇▇▇.▇▇.▇▇▇/apps/psp/idoaguest/contractsearch/. Indiana Underground Plant Protection Service Indiana Utility Regulatory Commission SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNTRCT S.GBL By: By▇▇▇ ▇▇▇▇▇▇▇ Vice President Name and Title, Printed Date: Title: Executive Director Title: 4/21/2020 ▇▇▇▇▇ ▇ ▇▇▇▇▇▇, IURC ▇▇▇▇▇ ▇. ▇▇▇▇▇▇, Chairman Date: 9/18/2023 | 09:07 EDT Date: 9/18/2023 | 10:15 EDT April 22, 2020 Electronically Approved by: Department of Administration By: (for) ▇▇▇▇▇▇ ▇. ▇▇ ▇▇▇▇, Commissioner Electronically Approved by: State Budget Agency By: (for) ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇, Director Approved as to Form and Legality: Office of Attorney General Form approval has been granted by the Office of the Attorney General pursuant to IC 4-13-2-14.3(e) on February 23May 13, 2023 2019. FA 2319-0316

Appears in 1 contract

Sources: Grant Agreement

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent equivalen t of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: ▇▇▇▇▇://▇▇▇▇▇▇.▇▇.▇▇▇/apps/idoa/contractsearch/. Indiana Underground Plant Protection Service Indiana Utility Regulatory Commission By: By: TitlePrinted Name: Printed Name: Executive Director Title: Chairman Date: 9/18/2023 11/2/2022 | 09:07 09:15 EDT Date: 9/18/2023 11/2/2022 | 10:15 09:25 EDT _ Electronically Approved by: Department of Administration By: (for) ▇▇▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇, Commissioner Electronically Approved by: State Budget Agency By: (for) ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇, Director Approved as to Form and Legality: Office of Attorney General Form approval has been granted by the Office of the Attorney General pursuant to IC 4-13-2-14.3(e) on February 23April 4, 2023 2022 FA 23-0322- 20

Appears in 1 contract

Sources: Grant Agreement

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts DatabaseDatabas e: ▇▇▇▇▇://▇▇▇▇▇▇.▇▇.▇▇▇/apps/idoa/contractsearch/. Indiana Underground Plant Protection Service Indiana Utility Regulatory Commission By: By: TitlePrinted Name: Printed Name: Executive Director 2/21/2023 | 14:26 EST Title: Chairman Date: 9/18/2023 Chairman 2/21/2023 | 09:07 EDT Date: 9/18/2023 | 10:15 EDT 15:18 EST _ Electronically Approved by: Department of Administration By: (for) ▇▇▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇, Commissioner Electronically Approved by: State Budget Agency By: (for) ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇, Director Approved as to Form and Legality: Office of Attorney General Form approval has been granted by the Office of the Attorney General pursuant to IC 4-13-2-14.3(e) on February 23April 4, 2023 2022 FA 23-0322- 20

Appears in 1 contract

Sources: Grant Agreement

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: ▇▇▇▇▇://▇▇▇▇▇▇.▇▇.▇▇▇/apps/idoa/contractsearch/. Indiana Underground Plant Protection Service Indiana Utility Regulatory Commission By: By: Title: Executive Director Title: Chairman Date: 9/18/2023 7/29/2024 | 09:07 09:12 EDT Date: 9/18/2023 8/5/2024 | 10:15 14:08 EDT Electronically Approved by: Department of Administration By: (for) ▇▇▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇, Commissioner Electronically Approved by: State Budget Agency By: (for) ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇, Acting State Budget Director Approved as to Form and Legality: Office of Attorney General Form approval has been granted by the Office of the Attorney General pursuant to IC 4-13-2-14.3(e) on February 2313, 2023 2024 FA 2324-0302

Appears in 1 contract

Sources: Grant Agreement

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts DatabaseDatabas e: ▇▇▇▇▇://▇▇▇▇▇▇.▇▇.▇▇▇/apps/idoa/contractsearch/. Indiana Underground Plant Protection Service ▇▇▇▇▇▇▇▇▇ Power Cooperative Indiana Utility Regulatory Commission By: By: TitleDirector of Marketing, Member EngagemeTnittle&: Executive Director Title: Chairman Chmamiurnmiatny Relations Date: 9/18/2023 5/12/2023 | 09:07 EDT 08:04 PDT Date: 9/18/2023 5/16/2023 | 10:15 15:56 EDT Electronically Approved by: Department of Administration By: (for) ▇▇▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇, Commissioner Electronically Approved by: State Budget Agency By: (for) ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇, Director Approved as to Form and Legality: Office of Attorney General Form approval has been granted by the Office of the Attorney General pursuant to IC 4-13-2-14.3(e) on February 23, 2023 FA 23-03

Appears in 1 contract

Sources: Grant Agreement

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts DatabaseDatabas e: ▇▇▇▇▇://▇▇▇▇▇▇.▇▇.▇▇▇/apps/idoa/contractsearch/. Indiana Underground Plant Protection Service Indiana Utility Regulatory Commission By: By: Printed Name: Printed Name: Manager of Safety and Resources 1/6/2023 | 08:03 PST Title: Executive Director TitleDate: Chairman Date: 9/18/2023 1/10/2023 | 09:07 EDT Date: 9/18/2023 | 10:15 EDT 17:24 EST _ Electronically Approved by: Department of Administration By: (for) ▇▇▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇, Commissioner Electronically Approved by: State Budget Agency By: (for) ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇, Director Approved as to Form and Legality: Office of Attorney General Form approval has been granted by the Office of the Attorney General pursuant to IC 4-13-2-14.3(e) on February 23April 4, 2023 2022 FA 23-0322- 20

Appears in 1 contract

Sources: Grant Agreement

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: ▇▇▇▇▇://▇▇.▇▇▇▇.▇▇.▇▇▇/apps/psp/idoaguest/contractsearch/. SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNTRCTS.GBL VANDERBURGH COUNTY HEALTH DEPARTMENT Indiana Underground Plant Protection Service Indiana Utility Regulatory Commission State Department of Health By: By: Title: Executive Director Title: Chairman Date: 9/18/2023 | 09:07 EDT Date: 9/18/2023 | 10:15 EDT Electronically Approved by: Department of Administration By: (for) ▇▇▇▇▇▇ ▇. ▇▇ ▇▇▇▇, Commissioner Electronically Approved by: State Budget Agency By: (for) ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇, Director Electronically Approved as to Form and Legality: Office of Attorney General Form approval has been granted by the Office of the Attorney General pursuant to IC 4-13-2-14.3(eBy: (for) on February 23▇▇▇▇▇▇ ▇. ▇▇▇▇, 2023 FA 23-03▇▇., Attorney General PUBLIC HEALTH EMERGENCY PREPAREDNESS BUDGET PERIOD 2 (July 1st, 2020 – June 30th, 2021) GRANT INFO CFDA: 93.069

Appears in 1 contract

Sources: Grant Agreement

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: ▇▇▇▇▇://▇▇▇▇▇▇.▇▇.▇▇▇/apps/idoa/contractsearch/. Indiana Underground Plant Protection Service Indiana Utility Regulatory Commission contractsearch/ By: By: Title: Executive Director President, Anthem IN Medicaid Title: Chairman Medicaid Director Date: 9/18/2023 9/25/2023 | 09:07 EDT 12:31 PDT Date: 9/18/2023 9/25/2023 | 10:15 16:07 EDT Electronically Approved by: Indiana Office of Technology By: (for) ▇▇▇▇▇ ▇▇▇▇▇▇, Chief Information Officer Electronically Approved by: Department of Administration By: (for) ▇▇▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇, Commissioner Electronically Approved by: State Budget Agency By: (for) ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇, Director Electronically Approved as to Form and Legality: Office of Attorney General Form approval has been granted by the Office of the Attorney General pursuant to IC 4-13-2-14.3(eBy: (for) on February 23▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇, 2023 FA 23-03Attorney General

Appears in 1 contract

Sources: Contract

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: ▇▇▇▇▇://▇▇▇▇▇▇.▇▇.▇▇▇/apps/idoa/contractsearch/. contractsearch/ COORDINATED CARE CORPORATION INDIANA Indiana Underground Plant Protection Service Indiana Utility Regulatory Commission Family & Social Services Administration, Office of Medicaid Policy and Planning By: By: Title: Executive Director CEO Title: Chairman Medicaid Director Date: 9/18/2023 9/26/2023 | 09:07 EDT 10:08 PDT Date: 9/18/2023 9/26/2023 | 10:15 13:41 EDT Electronically Approved by: Department of Administration By: (for) ▇▇▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇erda, Commissioner Electronically Approved by: State Budget Agency By: (for) ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇, Director Electronically Approved as to Form and LegalityLegality by: Office of Attorney General Form approval has been granted by the Office of the Attorney General pursuant to IC 4-13-2-14.3(eBy: (for) on February 23▇▇▇▇▇▇▇▇ ▇ ▇▇▇▇▇▇, 2023 FA 23-03Attorney General

Appears in 1 contract

Sources: Contract

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: ▇▇▇▇▇://▇▇▇▇▇▇.▇▇.▇▇▇/apps/idoa/contractsearch/. contractsearch/ ▇▇▇▇▇ ▇▇▇▇▇▇▇▇▇ Mental Health, Inc. Indiana Underground Plant Protection Service Indiana Utility Regulatory Commission Family Social Services Administration, Division of Mental Health By: and Addiction By: Title: Executive Director President/CEO Title: Chairman Director Date: 9/18/2023 5/31/2024 | 09:07 09:28 EDT Date: 9/18/2023 6/3/2024 | 10:15 EDT 06:48 PDT Electronically Approved by: Department of Administration By: (for) ▇▇▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇erda, Commissioner Electronically Approved by: State Budget Agency By: (for) ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇, Acting State Budget Director Electronically Approved as to Form and LegalityLegality by: Office of Attorney General Form approval has been granted by the Office of the Attorney General pursuant to IC 4-13-2-14.3(eBy: (for) on February 23▇▇▇▇▇▇▇▇ ▇ ▇▇▇▇▇▇, 2023 FA 23-03Attorney General

Appears in 1 contract

Sources: Professional Services

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts DatabaseDatabas e: ▇▇▇▇▇://▇▇▇▇▇▇.▇▇.▇▇▇/apps/idoa/contractsearch/. Indiana Underground Plant Protection Service Indiana Utility Regulatory Commission By: By: Title: Executive Utility Director Title: Chairman Date: 9/18/2023 7/5/2023 | 09:07 EDT 11:34 PDT Date: 9/18/2023 7/11/2023 | 10:15 09:58 EDT Electronically Approved by: Department of Administration By: (for) ▇▇▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇, Commissioner Electronically Approved by: State Budget Agency By: (for) ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇, Director Approved as to Form and Legality: Office of Attorney General Form approval has been granted by the Office of the Attorney General pursuant to IC 4-13-2-14.3(e) on February 23, 2023 FA 23-03

Appears in 1 contract

Sources: Grant Agreement

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: ▇▇▇▇▇://▇▇.▇▇▇▇.▇▇.▇▇▇/apps/psp/idoaguest/contractsearch/. Indiana Underground Plant Protection Service Indiana Utility Regulatory Commission SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNTRCT S.GBL and Addiction COMMUNITY MENTAL HEALTH CENTER, INC. By: By: Indiana Family and Social Services Administration, Division of Mental Health Title: Date: Executive Director 5/20/2020 | 15:22 EDT Title: Chairman Date: 9/18/2023 Director 5/20/2020 | 09:07 EDT Date: 9/18/2023 | 10:15 15:32 EDT Electronically Approved by: Department of Administration By: (for) ▇▇▇▇▇▇ ▇. ▇▇ ▇▇▇▇, Commissioner Electronically Approved by: State Budget Agency By: (for) ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇, Director Electronically Approved as to Form and Legality: Office of Attorney General Form approval has been granted by the Office of the Attorney General pursuant to IC 4-13-2-14.3(eBy: (for) on February 23▇▇▇▇▇▇ ▇. ▇▇▇▇, 2023 FA 23-03▇▇., Attorney General

Appears in 1 contract

Sources: Professional Services

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract Agreement by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract Agreement to the State of Indiana. I understand that my signing and submitting this Contract Agreement in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract Agreement and this affirmation. I understand and agree that by electronically signing and submitting this Contract Agreement in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract Agreement will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: ▇▇▇▇▇://▇▇▇▇▇▇.▇▇.▇▇▇/apps/idoa/contractsearch/. Indiana Underground Plant Protection Service Indiana Utility Regulatory Commission By: By: Title: Executive Director Title: Chairman Date: 9/18/2023 By:\s1\ By:\s2\ Title:\t1P\artner Date:\d112\/13/2023 | 09:07 EDT Date: 9/18/2023 09:53 EST Title:\tC2\hief Deputy Attorney General Date:\d122\/13/2023 | 10:15 EDT 10:49 EST Electronically Approved by: Department of Administration By: (for) ▇▇▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇erda, Commissioner Electronically Approved by: State Budget Agency By: (for) ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇, Director Approved as to Form and Legality: Office of Attorney General Form approval has been granted by the Office of the Attorney General pursuant to IC 4-13-2-14.3(eBy: (for) on February 23▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇, 2023 FA 23-03Attorney General

Appears in 1 contract

Sources: Contingency Fee Agreement

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: ▇▇▇▇▇://▇▇▇▇▇▇.▇▇.▇▇▇/apps/idoa/contractsearch/. Indiana Underground Plant Protection Service Indiana Utility Regulatory Commission By: By: Title: Executive Director Title: Chairman Date: 9/18/2023 By:\s1\ By:\s2\ Title:\tC1E\O Date:\1d21/\ 29/2021 | 09:07 EDT Date: 9/18/2023 06:24 CST Title:\tM2\edicaid director 12/29/2021 | 10:15 EDT 09:08 EST Date:\d2\ Electronically Approved by: Department of Administration By: (for) ▇▇▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇erda, Commissioner Electronically Approved by: State Budget Agency By: (for) ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇, Director Electronically Approved as to Form and LegalityLegality by: Office of Attorney General Form approval has been granted by the Office of the Attorney General pursuant to IC 4-13-2-14.3(eBy: (for) on February 23▇▇▇▇▇▇▇▇ ▇ ▇▇▇▇▇▇, 2023 FA 23-03Attorney General

Appears in 1 contract

Sources: Contract

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: ▇▇▇▇▇://▇▇▇▇▇▇.▇▇.▇▇▇/apps/idoa/contractsearch/. contractsearch/ ▇▇▇▇▇- ▇▇▇▇▇▇▇▇▇ MENTAL HEALTH, INC. Indiana Underground Plant Protection Service Indiana Utility Regulatory Commission Family and Social Services Administration, Division of Mental Health By: and Addiction By: Title: Executive Director CEO Title: Chairman Director Date: 9/18/2023 4/11/2022 | 09:07 13:28 EDT Date: 9/18/2023 4/11/2022 | 10:15 EDT 11:59 PDT Electronically Approved by: Department of Administration By: (for) ▇▇▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇erda, Commissioner Electronically Approved by: State Budget Agency By: (for) ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇, Director Electronically Approved as to Form and LegalityLegality by: Office of Attorney General Form approval has been granted by the Office of the Attorney General pursuant to IC 4-13-2-14.3(eBy: (for) on February 23▇▇▇▇▇▇▇▇ ▇ ▇▇▇▇▇▇, 2023 FA 23-03Attorney General

Appears in 1 contract

Sources: Professional Services

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: ▇▇▇▇▇://▇▇.▇▇▇▇.▇▇.▇▇▇/apps/psp/idoaguest/contractsearch/. Indiana Underground Plant Protection Service Indiana Utility Regulatory Commission SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNTRCTS.GBL? [Contractor] By: Indiana Department of Child Services By: ▇▇▇▇ ▇▇▇▇▇▇, Director Name and Title: Executive Director Title: Chairman , Printed Date: 9/18/2023 | 09:07 EDT Date: 9/18/2023 | 10:15 EDT Electronically Approved by: Indiana Department of Administration Indiana State Budget Agency By: (for) By: (for) ▇▇▇▇▇▇ ▇. ▇▇ ▇▇▇▇, Commissioner Electronically Approved by: State Budget Agency By: (for) ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇, Director Approved as to Form and LegalityDate: Office of Attorney General Form approval has been granted by the Date: Office of the Attorney General pursuant to IC 4-13-2-14.3(e) on February 23, 2023 FA 23-03General

Appears in 1 contract

Sources: Child Placing Agency Contract

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: ▇▇▇▇▇://▇▇.▇▇▇▇.▇▇.▇▇▇/apps/psp/idoaguest/contractsearch/. Indiana Underground Plant Protection Service Indiana Utility Regulatory Commission SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_▇▇▇▇▇▇▇.▇▇ L? By: By: ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇ Name and Title: , Printed Chief Deputy ▇▇▇▇▇ ▇▇▇▇▇▇▇▇, Executive Director Title: Chairman Date: 9/18/2023 10/17/2023 | 09:07 08:23 EDT Date: 9/18/2023 10/17/2023 | 10:15 14:31 EDT Electronically Approved by: Indiana Department of Administration By: By: (for) ▇▇▇▇▇▇▇▇▇▇▇▇▇ Auditor ▇▇▇▇▇▇▇ ▇▇▇▇▇▇▇▇, Commissioner Electronically Approved byName and Title, Printed 10/16/2023 | 15:12 EDT Date: State Budget Agency Office of the Attorney General By: (for) Form approval has been granted by the ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇, Director Approved as to Form and Legality: Office of Attorney General Form approval has been granted by the Office of the Attorney General pursuant to Generalpursuantto IC 4-13-2-14.3(e) on February 23August 22, 2023 2023. Date: ____ _ FA 23-0326 ▇▇▇ ▇▇▇▇▇▇▇▇, Attorney, No. 27246-49 Deputy General Counsel Indiana Criminal Justice Institute

Appears in 1 contract

Sources: Grant Agreement

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts DatabaseDatabas e: ▇▇▇▇▇://▇▇▇▇▇▇.▇▇.▇▇▇/apps/idoa/contractsearch/. Indiana Underground Plant Protection Service Indiana Utility Regulatory Commission By: By: Title: Executive Director Title: Chairman Date: 9/18/2023 4/2/2024 | 09:07 10:42 EDT Date: 9/18/2023 4/11/2024 | 10:15 13:34 EDT Electronically Approved by: Department of Administration By: (for) ▇▇▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇, Commissioner Electronically Approved by: State Budget Agency By: (for) ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇, Director Approved as to Form and Legality: Office of Attorney General Form approval has been granted by the Office of the Attorney General pursuant to IC 4-13-2-14.3(e) on February 2313, 2023 2024 FA 2324-0302

Appears in 1 contract

Sources: Grant Agreement

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: ▇▇▇▇▇://▇▇▇▇▇▇.▇▇.▇▇▇/apps/idoa/contractsearch/. contractsearch/ Indiana Underground Plant Protection Service Indiana Utility Regulatory Commission Family & Social Services Administration Office of Medicaid Policy and Planning By: Anthem Insurance Companies Inc. By: Title: Executive Director President, Anthem IN Medicaid Title: Chairman Medicaid Director Date: 9/18/2023 8/5/2024 | 09:07 EDT 09:29 PDT Date: 9/18/2023 8/5/2024 | 10:15 12:30 EDT Electronically Approved by: Department of Administration By: (for) ▇▇▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇erda, Commissioner Electronically Approved by: State Budget Agency By: (for) ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇, Acting State Budget Director Electronically Approved as to Form and LegalityLegality by: Office of Attorney General Form approval has been granted by the Office of the Attorney General pursuant to IC 4-13-2-14.3(eBy: (for) on February 23▇▇▇▇▇▇▇▇ ▇ ▇▇▇▇▇▇, 2023 FA 23-03Attorney General

Appears in 1 contract

Sources: Contract #0000000000000000000051705

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: ▇▇▇▇▇://▇▇▇▇▇▇.▇▇.▇▇▇/apps/idoa/contractsearch/. Indiana Underground Plant Protection Service Indiana Utility Regulatory Commission contractsearch/ By: By: CARESOURCE INDIANA, INC. Indiana Family and Social Services Administration, Office of Medicaid Policy and Planning Title: Executive Director President, Indiana Market Title: Chairman Medicaid Director Date: 9/18/2023 9/22/2023 | 09:07 09:02 EDT Date: 9/18/2023 | 10:15 EDT Electronically Approved by: Indiana Office of Technology By: (for) ▇▇▇▇▇ ▇▇▇▇▇▇, Chief Information Officer Electronically Approved by: Department of Administration By: (for) ▇▇▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇, Commissioner Electronically Approved by: State Budget Agency By: (for) ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇, Director Electronically Approved as to Form and Legality: Office of Attorney General Form approval has been granted by the Office of the Attorney General pursuant to IC 4-13-2-14.3(eBy: (for) on February 23▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇, 2023 FA 23-03Attorney General

Appears in 1 contract

Sources: Contract

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: ▇▇▇▇▇://▇▇.▇▇▇▇.▇▇.▇▇▇/apps/psp/idoaguest/contractsearch/. Indiana Underground Plant Protection Service SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNTRCT S.GBL ▇▇▇▇▇▇▇▇▇▇▇ & Company Inc Indiana Utility Regulatory Commission By: By: Title: Executive Director Mr Title: Chairman Date: 9/18/2023 3/8/2022 | 09:07 EDT 08:02 PST Date: 9/18/2023 3/8/2022 | 10:15 EDT 11:06 EST Electronically Approved by: Department of Administration By: (for) ▇▇▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇erda, Commissioner Electronically Approved by: State Budget Agency By: (for) ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇, Director Electronically Approved as to Form and LegalityLegality by: Office of Attorney General Form approval has been granted by the Office of the Attorney General pursuant to IC 4-13-2-14.3(eBy: (for) on February 23▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇, 2023 FA 23-03Attorney General

Appears in 1 contract

Sources: Grant Agreement