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/ 360WATER INC Indiana Utility Regulatory Commission By: By: Title: Title: Date: Date: 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 the Attorney General By: (for) ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇, Attorney General Client: 360Water Project: Safedig Phase II Date Submitted: February 23, 2022 Version 1.0

Appears in 2 contracts

Sources: Professional Services, Contract

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract Grant Agreement by accessing the State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract Grant Agreement to the State of Indiana. I understand that my signing and submitting this Contract Grant Agreement in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract Grant Agreement and this affirmation. I understand and agree that by electronically signing and submitting this Contract Grant Agreement in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract Grant 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/ 360WATER INC City of Fishers Indiana Utility Regulatory Commission Department of Homeland Security By: By: Title: Title: Date: Date: Electronically Approved by: Indiana Office of Technology By: (for) ▇▇▇▇▇ ▇▇▇▇▇▇, Chief Information Officer 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 the Attorney General By: (for) ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇, Attorney General Client: 360Water Project: Safedig Phase II Date Submitted: February 23, 2022 Version 1.0Guidelines for filing the annual financial report:

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/ 360WATER INC Indiana Utility Regulatory Commission By: SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNTRCT S.GBL By: Title: President, Anthem IN Medicaid By: Title: Medicaid director Date: 12/11/2020 | 10:06 EST Date: 12/11/2020 | 10:46 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 LegalityLegality by: Office of the Attorney General By: (for) ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇., Attorney General Client: 360Water Project: Safedig Phase II Date Submitted: February 23, 2022 Version 1.0General

Appears in 1 contract

Sources: Contract #0000000000000000000018310

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract Grant Agreement by accessing the State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract Grant Agreement to the State of Indiana. I understand that my signing and submitting this Contract Grant Agreement in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract Grant Agreement and this affirmation. I understand and agree that by electronically signing and submitting this Contract Grant Agreement in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract Grant 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/ 360WATER INC Tri-County School Corporation Indiana Utility Regulatory Commission Department of Homeland Security By: By: Title: Superintendent Title: General Counsel Date: 11/23/2022 | 12:23 PST Date: Electronically Approved by: Indiana Office of Technology By: (for) ▇▇▇▇▇ ▇▇▇▇▇▇, Chief Information Officer 12/2/2022 | 11:12 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 the Attorney General By: (for) ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇, Attorney General Client: 360Water Project: Safedig Phase II Date Submitted: February 23, 2022 Version 1.0General

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/ 360WATER INC SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNTRCT S.GBL Vanderburgh County Health Department Indiana Utility Regulatory Commission Department of Health By: By: Title: Title: Date: Date: Electronically Approved by: Indiana Office of Technology By: (for) ▇▇▇▇ ▇▇▇▇▇▇▇▇, President ▇▇▇▇▇▇▇▇▇▇▇ ▇▇▇▇▇▇▇▇▇▇▇:Commissioners Date: Date: This instrument was prepared by agency counsel on December 29, Chief Information Officer 2021. FA-22-01 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 the Attorney General By: (for) ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇, Attorney General Client: 360Water Project: Safedig Phase II Date Submitted: February 23, 2022 Version 1.0General

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/ 360WATER INC Indiana Utility Regulatory Commission By: SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNTRCTS.GBL By: Title: President, Indiana Market Title: Medicaid director Date: 12/10/2020 | 13:48 EST Date: 12/10/2020 | 16:12 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 LegalityLegality by: Office of the Attorney General By: (for) ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇., Attorney General Client: 360Water Project: Safedig Phase II Date Submitted: February 23, 2022 Version 1.0General

Appears in 1 contract

Sources: Contract #0000000000000000000018313

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/ 360WATER INC SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNTRCT S.GBL By:\s1\ Title:\t1P\resident, Indiana Utility Regulatory Commission By: By: Title: Title: Date: Date: Market Date:\d91/\16/2020 | 11:16 EDT Title:\t2M\edicaid director Date:\d92/\22/2020 | 10:00 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 the Attorney General By: (for) ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇, ▇▇., Attorney General Client: 360Water Project: Safedig Phase II Date Submitted: February 23, 2022 Version 1.0General

Appears in 1 contract

Sources: Contract Amendment

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract Lease by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract Lease to the State of Indiana. I understand that my signing and submitting this Contract Lease in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract Lease and this affirmation. I understand and agree that by electronically signing and submitting this Contract Lease in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract Lease 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/ 360WATER INC SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNTR CTS.GBL. Indiana Utility Regulatory Commission Department of Environmental Management By: By: Title: Title: Date: Date: Electronically Approved by: Indiana Office of Technology By: (for) ▇▇▇▇▇▇▇▇ ▇▇▇▇▇▇, Chief Information Officer Electronically Approved byof Staff [Name/Title] Date: Date: Indiana Department of Administration By: (for) ▇▇▇▇▇▇▇ ▇▇▇▇▇▇▇▇, Commissioner Electronically Approved byDate: State Budget Agency By: (for) ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇, Director Electronically Approved as to Form and LegalityDate: Office of the Attorney General ByDate: (for) ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇, Attorney General Client: 360Water Diagram courtesy of the Seabin Project: Safedig Phase II Date Submitted: February 23, 2022 Version 1.0

Appears in 1 contract

Sources: Lease 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/ 360WATER INC SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNTRCT S.GBL 360Water Inc By: Indiana Utility Regulatory Commission By: By: Title: Title: Date: Date: 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 LegalityLegality by: Office of the Attorney General By: (for) ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇, Attorney General Client: 360Water Project: Safedig Phase II Date Submitted: February 23, 2022 Version 1.0General

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/ 360WATER SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNTRCTS.GBL COMPASS MINERALS AMERICA INC Indiana Utility Regulatory Commission Department of Administration By: By: Title: Senior Manager Highway Sales Title: Vendor Manager Date: 7/13/2020 | 14:02 EDT Date: Electronically Approved by: Indiana Office of Technology By: (for) ▇▇▇▇▇ ▇▇▇▇▇▇, Chief Information Officer 7/13/2020 | 14:28 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 the Attorney General By: (for) ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇, ▇▇., Attorney General Client: 360Water Project: Safedig Phase II Date Submitted: February 23, 2022 Version 1.0General

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/ 360WATER INC Indiana Utility Regulatory Commission By: SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNTRCT S.GBL By: Title: President, Anthem IN Medicaid Title: Medicaid director Date: 12/23/2021 | 10:13 EST Date: 12/23/2021 | 10:26 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 the Attorney General By: (for) ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇, Attorney General Client: 360Water Project: Safedig Phase II Date Submitted: February 23, 2022 Version 1.0General

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/psp/idoaguest/contractsearch/ 360WATER INC Indiana Utility Regulatory Commission SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNTRCTS.GBL By: MDwise, Inc. Indiana Family and Social Services Administration, Office of Medicaid Policy and Planning Title: President and CEO By: Title: Title: Medicaid director Date: 12/29/2022 | 14:53 EST Date: 12/29/2022 | 15:15 EST Electronically Approved by: Indiana Office of Technology By: (for) ▇▇▇▇▇ ▇. ▇▇▇▇▇▇, Chief Information Officer 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 the Attorney General By: (for) ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇, Attorney General Client: 360Water Project: Safedig Phase II Date Submitted: February 23, 2022 Version 1.0General

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/ 360WATER INC SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNTRCT S.GBL Indiana Underground Plant Protection Service Indiana Utility Regulatory Commission By: By: Title: Title: Date: Date: 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 LegalityLegality by: Office of the Attorney General By: (for) ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇, Attorney General Client: 360Water Project: Safedig Phase II Date Submitted: February 23, 2022 Version 1.0General

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/ 360WATER INC SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNTRCT S.GBL ▇▇▇▇▇ COUNTY HEALTH DEPARTMENT Indiana Utility Regulatory Commission State Department of Health By: By: Title: Administrator Title: IDOH Chief of Staff Date: 6/22/2021 | 16:02 EDT Date: Electronically Approved by: Indiana Office of Technology By: (for) ▇▇▇▇▇ ▇▇▇▇▇▇, Chief Information Officer 6/23/2021 | 08:51 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 the Attorney General By: (for) ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇, Attorney General Client: 360Water Project: Safedig Phase II Date Submitted: February 23, 2022 Version 1.0General

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/ 360WATER INC SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNTRCT S.GBL ▇▇▇▇▇▇▇▇ Trenching & Directional Boring Indiana Utility Regulatory Commission By: By: Title: Title: Date: Date: 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 LegalityLegality by: Office of the Attorney General By: (for) ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇, Attorney General Client: 360Water Project: Safedig Phase II Date Submitted: February 23, 2022 Version 1.0General

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/ 360WATER INC SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNTRCTS.GBL? [Grantee] [Indiana Utility Regulatory Commission Agency] By: By: Name and Title: , Printed Name and Title: , Printed Date: Date: Electronically Approved by: Indiana Office Department of Technology Administration State Budget Agency 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 LegalityDate: Date: Office of the Attorney General Date: Indiana Office of Technology By: (for) ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇, Attorney General ClientChief Information Officer Date: 360Water Project: Safedig Phase II Date Submitted: February 23, 2022 Version 1.0Guidelines 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 Grant Agreement by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract Grant Agreement to the State of Indiana. I understand that my signing and submitting this Contract Grant Agreement in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract Grant Agreement and this affirmation. I understand and agree that by electronically signing and submitting this Contract Grant Agreement in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract Grant 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/ 360WATER INC Indiana Utility Regulatory Commission By: By: Title: Title: Date: Date: Electronically Approved by: Indiana Office of Technology By: (for) ▇▇▇▇▇▇▇ ▇▇▇▇▇, Chief Information Officer Commissioner Date: Date: Electronically Approved by: Electronically Approved by: Department of Administration State Budget Agency By: (for) ▇▇▇▇▇▇▇ ▇▇▇▇▇▇▇▇, Commissioner Electronically Approved by: State Budget Agency By: (for) ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇, Director Electronically Approved as to Form and Legality: Office of the Attorney General By: (for) ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇, Attorney General Client: 360Water Project: Safedig Phase II Date Submitted: February 23, 2022 Version 1.0:

Appears in 1 contract

Sources: Grant Agreement

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract Grant Agreement by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract Grant Agreement to the State of Indiana. I understand that my signing and submitting this Contract Grant Agreement in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract Grant Agreement and this affirmation. I understand and agree that by electronically signing and submitting this Contract Grant Agreement in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract Grant 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/ 360WATER INC Indiana Utility Regulatory Commission JEFFERSON COUNTY By: Indiana Department of Correction By: Title: Auditor Title: Community Corrections Director Date: 11/9/2023 | 09:41 EST Date: Electronically Approved by: Indiana Office of Technology By: (for) ▇▇▇▇▇ ▇▇▇▇▇▇, Chief Information Officer 11/9/2023 | 14:06 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 the Attorney General By: (for) ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇, Attorney General Client: 360Water Project: Safedig Phase II Date Submitted: February 23, 2022 Version 1.0General

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/ 360WATER INC Indiana Utility Regulatory Commission SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNTRCT S.GBL By: ▇▇▇▇▇▇▇▇ ▇▇▇▇, MD, MBA By: Title: ▇▇▇▇▇▇▇ ▇▇▇▇▇▇ Title: Date: President, Anthem IN Medicaid March 13, 2020 Title: Date: Medicaid Director 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 the Attorney General By: (for) ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇, ▇▇., Attorney General Client: 360Water Project: Safedig Phase II Date Submitted: February 23March 16, 2022 Version 1.02020

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/ 360WATER INC SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNTRCT S.GBL 360W ater Inc Indiana Utility Regulatory Commission By: By: Title: President Title: Chairman Date: 7/20/2021 | 07:45 PDT Date: 7/21/2021 | 10:12 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 LegalityLegality by: Office of the Attorney General By: (for) ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇, Attorney General Client: 360Water Project: Safedig Phase II Date Submitted: February 23, 2022 Version 1.0General

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/ 360WATER INC SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNTRCT S.GBL GREENFIELD, CITY OF Indiana Utility Regulatory Commission Office of Community and Rural Affairs By: By: Title: Title: Date: Date: 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 the Attorney General By: (for) ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇, ▇▇., Attorney General Client: 360Water Project: Safedig Phase II Date Submitted: February 23, 2022 Version 1.0General

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/ 360WATER INC SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNTRCT S.GBL CITY OF WEST LAFAYETTE Indiana Utility Regulatory Commission State Department of Health By: By: Title: Title: Date: Date: 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 LegalityLegality by: Office of the Attorney General By: (for) ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇., Attorney General Client: 360Water Project: Safedig Phase II Date Submitted: February 23, 2022 Version 1.0General

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/ 360WATER INC Indiana Utility Regulatory Commission SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNTRCT S.GBL TIPPECANOE COUNTY HEALTH DEPT INDIANA STATE DEPARTMENT OF HEALTH By: By: Title: Administrator Title: IDOH Chief of Staff Date: 6/16/2021 | 14:15 EDT Date: Electronically Approved by: Indiana Office of Technology By: (for) ▇▇▇▇▇ ▇▇▇▇▇▇, Chief Information Officer 6/16/2021 | 17:48 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 the Attorney General By: (for) ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇, Attorney General Client: 360Water Project: Safedig Phase II Date Submitted: February 23, 2022 Version 1.0General

Appears in 1 contract

Sources: Grant Agreement

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract Grant Agreement by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract Grant Agreement to the State of Indiana. I understand that my signing and submitting this Contract Grant Agreement in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract Grant Agreement and this affirmation. I understand and agree that by electronically signing and submitting this Contract Grant Agreement in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract Grant 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/ 360WATER INC Indiana Utility Regulatory Commission By: By: Title: Title: Date: Date: Electronically Approved by: Indiana Office of Technology By: (for) By:\s1\ \t1M\▇▇▇▇▇ ▇▇▇▇▇▇, Chief Information Officer Executive Direc_tor By:\s2\ _ \tC2\hief of Staff _ Name and Title, Printed: Name and Title, Printed Date:\d112\/8/2023 | 17:01 EST _ Date:\d122\/11/2023 | 08:26 EST Electronically Approved by: Electronically Approved by: Indiana Department of Administration State Budget Agency By: (for) ▇▇▇▇▇▇▇ ▇▇▇▇▇▇▇▇, Commissioner Electronically Approved by: State Budget Agency By: (for) ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇, Director Electronically Approved as to Form and Legality: Office of the Attorney General By: (for) ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇, Attorney General Client: 360Water Project: Safedig Phase II Date Submitted: February 23, 2022 Version 1.0General

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/ 360WATER INC Arcadian Health Plan, Inc. Indiana Utility Regulatory Commission Family and Social Services Administration, Office of Medicaid Policy and Planning By: By: Title: xHumana Medicaid President Title: Medicaid Director Date: 3/26/2024 | 15:01 PDT Date: 3/27/2024 | 06:55 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 the Attorney General By: (for) ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇, Attorney General Client: 360Water Project: Safedig Phase II Date Submitted: February 23, 2022 Version 1.0General

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/idoapa91prd/contractsearch/ 360WATER INC EMPLOYEE/EMPL/h/?tab=PAPP_GUEST ENERGY TECHNOLOGIES LLC Indiana Utility Regulatory Commission By: By: Title: Title: Date: Date: Electronically Approved by: Indiana Office of Technology By: (for) ▇▇▇▇▇ ▇▇▇▇▇▇, Chief Information Officer 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. Electronically Approved as to Form and Legality: Office of the Attorney General By: (for) ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇, ▇▇., Attorney General Client: 360Water Project: Safedig Phase II Date Submitted: February 23, 2022 Version 1.0Refer to Electronic Approval History found after the final page of the Executed Contract for details.

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/ 360WATER INC Indiana Utility Regulatory Commission By: COORDINATED CARE CORPORATION d/b/a MANAGED HEALTH SERVICES Indiana Family and Social Services Administration, Office of Medicaid Policy and Planning Title: CEO By: Title: Title: Medicaid Director Date: 9/26/2023 | 10:11 PDT Date: 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 the Attorney General By: (for) ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇, Attorney General Client: 360Water Project: Safedig Phase II Date Submitted: February 23, 2022 Version 1.0General

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/ 360WATER INC Indiana Utility Regulatory Commission contractsearch/. By: By: By:\s2\ Title: Title: Date: \ Date: 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) ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇, Attorney General Client: 360Water Project: Safedig Phase II Date Submitted: February 23, 2022 Version 1.0General

Appears in 1 contract

Sources: Local Public Agency Project Coordination 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/ 360WATER INC Indiana Utility Regulatory Commission By: By: Title: Title: Date: Date: Electronically Approved by: Indiana Office of Technology By: (for) SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNTRCT S.GBL TOWN OF ▇▇▇▇▇▇ By: Indiana Department of Natural Resources Title: Mayor, Town of ▇▇▇▇▇▇, Chief Information Officer ▇ By: Title: Deputy Director / CFO Date: 6/25/2021 | 15:08 EDT Date: 6/25/2021 | 16:38 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 the Attorney General By: (for) ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇, Attorney General Client: 360Water Project: Safedig Phase II Date Submitted: February 23, 2022 Version 1.0General

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/ 360WATER SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNTRCT S.GBL COMMUNITY MENTAL HEALTH CENTER, INC Indiana Utility Regulatory Commission Family and Social Services Administration, Division of Mental Health By: and Addiction By: Title: Executive Director Title: Director Date: 7/20/2021 | 09:55 EDT Date: Electronically Approved by: Indiana Office of Technology By: (for) ▇▇▇▇▇ ▇▇▇▇▇▇, Chief Information Officer 7/20/2021 | 09:12 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 the Attorney General By: (for) ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇, Attorney General Client: 360Water Project: Safedig Phase II Date Submitted: February 23, 2022 Version 1.0General

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/ 360WATER INC SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNTRCTS.GBL THE DETROIT SALT CO LLC Indiana Utility Regulatory Commission Department of Administration By: By: Title: Business Operations Manager Title: Vendor Manager Date: 7/17/2020 | 13:24 EDT Date: Electronically Approved by: Indiana Office of Technology By: (for) ▇▇▇▇▇ ▇▇▇▇▇▇, Chief Information Officer 7/17/2020 | 13:27 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 the Attorney General By: (for) ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇, ▇▇., Attorney General Client: 360Water Project: Safedig Phase II Date Submitted: February 23, 2022 Version 1.0General

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/ 360WATER INC Indiana Utility Regulatory Commission SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNTRCTS.GBL By: By: Title: President and CEO Date: 12/11/2020 | 12:53 EST Title: Date: Date: Medicaid director 12/11/2020 | 13:11 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 LegalityLegality by: Office of the Attorney General By: (for) ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇., Attorney General Client: 360Water Project: Safedig Phase II Date Submitted: February 23, 2022 Version 1.0HEALTHY INDIANA PLAN CAPITATION RATE

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 Database: ▇▇▇▇▇://▇▇▇▇▇▇.▇▇.▇▇▇/apps/idoa/contractsearch/ 360WATER INC Energy Technologies LLC By: Indiana Utility Regulatory Commission By: By: Title: Title: Date: Date: 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 LegalityLegality by: Office of the Attorney General By: (for) ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇, Attorney General Client: 360Water Project: Safedig Phase II Date Submitted: February 23Enertech will complete the IURC contractor, 2022 Version 1.0or staff or a contractor for the Indiana Office of Technology. The IURC will be responsible for providing the correct person(s) and contact information to Enertech, as needed.

Appears in 1 contract

Sources: Contract

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract Grant Agreement by accessing the State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract Grant Agreement to the State of Indiana. I understand that my signing and submitting this Contract Grant Agreement in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract Grant Agreement and this affirmation. I understand and agree that by electronically signing and submitting this Contract Grant Agreement in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract Grant Agreement will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and if applicable, the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: ▇▇▇▇▇://▇▇▇▇▇▇.▇▇.▇▇▇/apps/idoa/contractsearch/ 360WATER INC Indiana Utility Regulatory Commission By: By: Title: Title: Date: Date: By:\s1\ By:\s2\ Title:\t1S\uperintendent Date:\d110\/28/2021 | 02:30 PDT Title:\t2G\eneral Counsel Date:\d120\/29/2021 | 12:26 EDT Electronically Approved by: Indiana Office of Technology By: (for) ▇▇▇▇▇ ▇▇▇▇▇▇, Chief Information Officer 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 the Attorney General By: (for) ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇, Attorney General Client: 360Water Project: Safedig Phase II Date Submitted: February 23, 2022 Version 1.0Guidelines 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/idoa/contractsearch/ 360WATER INC Indiana State Fair Commission Indiana Utility Regulatory Commission By: By: Title: Title: Date: Date: 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 LegalityLegality by: Office of the Attorney General By: (for) ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇, Attorney General Client: 360Water Project: Safedig Phase II Date Submitted: February 23FOR THE SPONSORSHIP EVENT, 2022 Version 1.0THE COMMISSION AGREES TO PROVIDE THE SPONSOR WITH 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/psp/idoaguest/contractsearch/ 360WATER INC SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNTRCTS.GBL Indiana Utility Regulatory Commission Department of Administration By: By: Title: Title: Date: Date: Electronically Approved by: Indiana Office of Technology By: (for) ▇▇▇▇▇ ▇▇▇▇▇▇, Chief Information Officer ▇ INCORPORATED By: Title: Customer Care Representative II Title: Vendor Manager Date: 8/10/2021 | 10:54 EDT Date: 8/10/2021 | 10:55 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 the Attorney General By: (for) ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇, Attorney General Client: 360Water Project: Safedig Phase II Date Submitted: February 23, 2022 Version 1.0General

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/ 360WATER INC Indiana Utility Regulatory Commission By: By: Title: President / CEO Title: Commissioner Date: 3/1/2021 | 07:01 PST Date: 3/2/2021 | 12:16 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 LegalityLegality by: Office of the Attorney General By: (for) ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇, Attorney General Client: 360Water Project: Safedig Phase II Date Submitted: February 23, 2022 Version 1.0General

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/ 360WATER INC Indiana Utility Regulatory Commission By: SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNTRCTS.GBL By: Title: Vice President Title: Medicaid director Date: 12/11/2020 | 15:26 EST Date: 12/11/2020 | 15:28 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 LegalityLegality by: Office of the Attorney General By: (for) ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇., Attorney General Client: 360Water Project: Safedig Phase II Date Submitted: February 23, 2022 Version 1.0General

Appears in 1 contract

Sources: Contract #0000000000000000000018315