Common use of ATTESTATION Clause in Contracts

ATTESTATION. I attest that this information is true, accurate, and complete and understand that any falsification, omission, or concealment of material fact may subject me or the represented organization to administrative, civil, or criminal liability. Furthermore, I am a duly authorized representative to sign such agreement for the party that I represent. Name: Name: Title: Title: Date: Date: This Addendum sets forth the applicable requirements that are required by the contract between the California Department of Health Care Services (“DHCS”) and ▇▇▇▇ Health System (“KHS”) (the “Medi-Cal Contract”) to be included in this Agreement and any other provisions necessary to reflect compliance with law. Any citations in this Addendum are to the applicable sections of the Medi-Cal Contract, or applicable law. This Addendum will automatically be modified to conform to subsequent changes in law or government program requirements. In the event of a conflict between this Addendum and any other provision of the Agreement, this Addendum will control with respect to Medi-Cal. Any capitalized term utilized in this Addendum will have the same meaning ascribed to it in the Agreement unless otherwise set forth in this Addendum. If a capitalized term used in this Addendum is not defined in the Agreement or this Addendum, it will have the same meaning ascribed to it in the Medi-Cal Contract. For purposes of this Addendum, “Subcontractor” means Vendor.

ATTESTATION. I attest that this information is true, accurate, and complete and understand that any falsification, omission, or concealment of material fact may subject me or the represented organization to administrative, civil, or criminal liability. Furthermore, I am a duly authorized representative to sign such agreement for the party that I represent. Name: Name: Title: Title: Date: Date: This Addendum Exhibit sets forth the applicable requirements that are required by the contract between the California Department of Health Care Services (“DHCS”) and ▇▇▇▇ Health System (“KHS”) (the “Medi-Cal Contract”) to be included in this Agreement and any other provisions necessary to reflect compliance with law. Any citations in this Addendum Exhibit are to the applicable sections of the Medi-Cal Contract, or applicable law. This Addendum Exhibit will automatically be modified to conform to subsequent changes in law or government program requirements. In the event of a conflict between this Addendum Exhibit and any other provision of the Agreement, this Addendum Exhibit will control with respect to Medi-Cal. Any capitalized term utilized in this Addendum Exhibit will have the same meaning ascribed to it in the Agreement unless otherwise set forth in this AddendumExhibit. If a capitalized term used in this Addendum Exhibit is not defined in the Agreement or this AddendumExhibit, it will have the same meaning ascribed to it in the Medi-Cal Contract. For purposes of this AddendumExhibit, “SubcontractorContractor” means Vendor.