Certification Form Clause Samples
Certification Form. ATTACHMENT H HHS Data Use Agreement (Community Center (LMHA, LA, ATTACHMENT H1 ............Texas HHS System Data Use Agreement: Attachment 2, Security and Privacy Inquiry (SPI) ATTACHMENT I Indirect Cost Rate Letter
Certification Form. (a) Except as otherwise specified as contemplated by Section 301 for Securities of any series, whenever any certification is required to be given pursuant to Section 305(d)(i) of this Indenture in connection with the transfer of a beneficial interest in a Restricted Global Security to a person who wishes to take delivery thereof in the form of a beneficial interest in a Regulation S Global Security, such certification shall be provided substantially in the form of Annex A to this Indenture, with only such changes as shall be approved in writing by the Issuer.
(b) Except as otherwise specified as contemplated by Section 301 for Securities of any series, whenever any certification is required to be given pursuant to Section 305(d)(ii) of this Indenture in connection with the transfer of a beneficial interest in a Restricted Global Security to a person who wishes to take delivery thereof in the form of a beneficial interest in an Unrestricted Global Security, such certification shall be provided substantially in the form of Annex B to this Indenture, with only such changes as shall be approved in writing by the Issuer.
(c) Except as otherwise specified as contemplated by Section 301 for Securities of any series, whenever any certifications are required to be given pursuant to Section 305(d)(iii) of this Indenture in connection with the transfer of a beneficial interest in the Regulation S Global Security to a person who wishes to take delivery thereof in the form of a beneficial interest in the Restricted Global Security, such certifications shall be provided substantially in the form of Annex C to this Indenture, with only such changes as shall be approved in writing by the Issuer.
(d) Except as otherwise specified as contemplated by Section 301 for Securities of any series, whenever any certification is required to be given pursuant to Section 305(d)(iv) of this Indenture in connection with the transfer of a beneficial interest in an Unrestricted Global Security to a person who wishes to take delivery thereof in the form of a beneficial interest in the Restricted Global Security, such certification shall be provided substantially in the form of Annex D to this Indenture, with only such changes as shall be approved in writing by the Issuer.
Certification Form. (a) Whenever any certification is to be given by an owner of a beneficial interest in a Regulation S Global Security pursuant to Section 3.06(d)(i) of this Indenture, in connection with the transfer of a beneficial interest therein to a Person who wishes to take delivery thereof in the form of a beneficial interest in a Rule 144A Global Security, such certification shall be provided substantially in the form of the following certificate (which may be attached to or set forth on the Security), including or omitting bracketed language as appropriate, but otherwise with only such changes as may be approved in writing by the Company: FORM OF TRANSFER CERTIFICATE FOR TRANSFER OR EXCHANGE FROM REGULATION S GLOBAL SECURITY TO RULE 144A GLOBAL SECURITY (TRANSFERS PURSUANT TO SECTION 3.06(d)(i) OF THE INDENTURE) The Bank of New York, as Trustee ▇▇▇ ▇▇▇▇▇▇▇ ▇▇▇▇▇▇ New York, NY 10286 Attn: Corporate Trust Administration Re : CILCORP INC.'s [Title of Securities] Reference is hereby made to the Indenture, dated as of October 18, 1999 (the "Indenture"), between CILCORP INC. and THE BANK OF NEW YORK, as Trustee. Capitalized terms used but not defined herein shall have the meanings given to them in the Indenture. This letter relates to U.S. $___________ principal amount of Securities which are evidenced by one or more Regulation S Global Securities in fully registered form (ISIN No. _____) and held with the Depositary by means of a book-entry interest through [Euroclear] [Cedel] in the name of [insert name of transferor] (the "Transferor"). The Transferor has requested a transfer of such beneficial interest in the Regulation S Global Security to a Person that will take delivery thereof (the "Transferee") in the form of any equal principal amount of Securities evidenced by one or more Rule 144A Global Securities (CUSIP No. ______). In connection with such request and in respect of such Securities, the Transferor does hereby certify that the interests in the Regulation S Global Security are being transferred pursuant to and in accordance with Rule 144A under the Securities Act of 1933, and, accordingly, the Transferor does hereby further certify that the interests in the Regulation S Global Security are being transferred to a Person that the Transferor reasonably believes is purchasing the Securities for its own account, or for one or more accounts with respect to which such Person exercises sole investment discretion, and such Person and each such account is a "qualified i...
Certification Form. Unit members shall be required to sign the MiraCosta Online Class Requirements Self- Checklist, which is attached as Exhibit G. By signing the certification form, unit members agree to abide by all recommendations on the checklist. Those who do so are agreeing to meet these recommendations in each class taught in an online or hybrid format on an ongoing basis. Unit members shall be required to recertify once every four (4) years to maintain currency to teach online. The appropriate ▇▇▇▇ or designee shall document that all unit members who are assigned to teach distance education courses have satisfied the certification requirements above. The ▇▇▇▇ or designee shall maintain a comprehensive list of certified online instructors, and shall consult this list prior to assigning a unit member to teach a distance education course in accordance with department and district procedures. The district must inform unit members when recertification is required at the beginning of the academic year that the certification will expire. If a recertification notice is not provided on time, the unit member will maintain certification until notice is given and the unit member is afforded three (3) months to complete the process. Exceptions to this requirement may be granted by the appropriate vice president, such as in emergency situations that require late instructor assignments. Efforts will be made to provide appropriate distance education training to the unit member during the semester of the assignment.
Certification Form. The field representative shall execute a certificate in the format shown in GSFIC Forms Packet, on the letterhead of the manufacturer, certifying that "the equipment has been installed in strict compliance with the recommendations of the manufacturer and is operating properly.” All certification forms shall be provided to Design Professional at least seven (7) days prior to the inspection for Material Completion. Initial Test and Balance. Prior to Material Completion, CM/GC shall perform an initial test and balance on the heating, ventilating and air conditioning system. CM/GC shall submit the initial test and balance report to Design Professional at least seven (7) days prior to the proposed date of Inspection for Material Completion. Two (2) additional Test and Balance Reports are required after Material Completion and occupancy.
Certification Form. Contractor shall annually submit to the Village Contractor’s certifications as required in Attachment C to this Agreement, in the attached in Attachment D I hereby certify that I am the of
1. Not delinquent in the payment of taxes to the Illinois Department of Employment security or the Illinois Department of revenue in accordance with 65 ILCS 5/11-42.1-1;
2. Not barred from contracting as a result of a violation of either Section 33E-3 (bid-rigging) or 33E-4 (bid-totaling) of the Criminal Code of 1961, and as amended from time to time (720 ILCS 5/33E-3 and 5/33E-4); and
3. Not in default, as defined in 5 ILCS 385/2, on an educational loan, as defined in 5 ILCS 385/1. In addition, Contractor hereby represents and warrants to the Village of Frankfort, Illinois, as a condition of any agreement with the Village of Frankfort, Illinois, that Contractor is under no legal prohibition on contracting with the Village, has no known conflicts of interest, and further certifies that:
1. Contractor maintains and will maintain a drug-free workplace in accordance with the Drug Free Workplace Act (30 ILCS 580/1 et seq.) by:
A. Publishing a statement:
(1) Notifying employees that the unlawful manufacture, distribution, dispensation, possession, or use of a controlled substance including cannabis, is prohibited in Contractor’s workplace;
(2) Specifying the actions that will be taken against employee for violations of such prohibition;
(3) Notifying the employee that, as a condition of employment on this Agreement, the employee will:
a. Abide by the terms of the statement; and
b. Notify the employer of any criminal drug statute conviction for a violation occurring in the workplace no later than five (5) days after such conviction.
B. Establishing a drug-free awareness program to inform employees about:
(1) The dangers of drug abuse in the workplace;
(2) Contractor’s policy of maintaining a drug-free workplace;
(3) Any available drug counseling, rehabilitation, and employee assistance program; and
(4) The penalties that may be imposed upon employees for drug violations.
C. Making it a requirement to give a copy of the statement required by subsection A to each employee engaged in the performance of the Agreement, and to post the statement in a prominent place in the workplace.
D. Notifying the Village within ten (10) days after receiving notice under Paragraph A.3(b) from an employee or otherwise receiving actual notice of such conviction.
E. Imposing a sanction on, or requir...
Certification Form o SkyBridge reviews candidate’s resume’s in person and validates them through an independent third-party screening company. SkyBridge requires all candidates to acknowledge the information given is to the best of their knowledge. Any discrepancies result in either dismal of candidates or termination or contractor. How the Respondent will conduct interviews and include interview criteria. o SkyBridge implements a multitier interview process. 1st – phone screen to review information from both the candidate and potential project. Answer any questions or concerns and make sure the potential candidate meets minimum qualification for the position. 2nd – Face-to-face interview. If an in-person interview cannot be completed, a web-conference (ex. Skype, face-time) will be completed. During this interview a more in-depth review of abilities, resume details, and opportunity will be reviewed and verified. As per individual Client request, either a verbal retelling of the candidate’s qualification or a fully documented interview criteria will be provided to all SkyBridge’s Clients. How the Respondent will conduct reference checks on staff. o References will be obtained during the interview process and completed internally. Documentation is always completed and given upon request. Additionally, the information obtained through the reference is passed along to our 3rd party screening company for verification. How will Respondent have staff demonstrate their experience prior to submission to State as candidate for a Request for Quote. o A brief overview will be submitted and completed by the potential candidate. This will contain project summaries and examples of their previous work experience that pertains to the Request for Quote. SkyBridge understands the State of Florida is looking for a partner that can exceed Client expectations on measurable and deliverable products. Below I’ve included some detailed examples of how SkyBridge Resources has accomplished this with other active Clients. SkyBridge Resources has seen increased growth every year since inception and we believe the reason for that growth has been our ability to continually meet/exceed our Client’s expectations. One example of that is a project we had with Kindred Healthcare. Kindred needed network technicians to travel across the US and perform network upgrades in all their hospitals. There were many challenges: travel schedules, experienced engineers, working in an active hospital, etc. Start...
Certification Form. For Employees, Agents and Contractors
Certification Form. 43 SECTION 3.13. CUSIP and ISIN Numbers.........................................................................50
Certification Form. Faculty shall be required to sign the MiraCosta Online Class Requirements Self- Checklist, which is attached as Appendix 10. By signing the certification form, faculty agree to abide by all recommendations on the checklist. Those who do so are agreeing to meet these recommendations in each class taught in an online or hybrid format on an ongoing basis. Faculty members shall be required to recertify once every four (4) years to maintain currency to teach online. The appropriate ▇▇▇▇ or designee shall document that all faculty who are assigned to teach distance education courses have satisfied the certification requirements above. The ▇▇▇▇ or designee shall maintain a comprehensive list of certified online instructors, and shall consult this list prior to assigning a faculty member to teach a distance education course in accordance with department and district procedures. The district must inform faculty members when recertification is required at the beginning of the academic year that the certification will expire. If a recertification notice is not provided on time, the faculty member will maintain certification until notice is given and the faculty member is afforded three (3) months to complete the process. Exceptions to this requirement may be granted by the appropriate vice president, such as in emergency situations that require late instructor assignments. Efforts will be made to provide appropriate distance education training to the faculty member during the semester of the assignment. Completion of any training during this time will be at the discretion of the faculty member and in consultation with the department chair.