Certifications and Signature Clause Samples
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Certifications and Signature. I, the person identified in Part 1, or if applicable the authorised representative of the person identified in Part 1, understand that the information supplied by me is covered by the full provisions of the terms and conditions governing the Account Holder’s relationship with Pershing setting out how Pershing may use and share the information supplied to Pershing. [I/the Account Holder’s representative]* acknowledge(s) that the information contained in this form and information regarding [my/the Account Holder’s]* account(s) may be reported to the tax authorities of the country in which this account(s) is/are maintained and exchanged with the tax authorities of another country or countries in which the Account Holder may be tax resident where those countries have entered into Agreements to exchange financial account information. [I/the Account Holder’s representative] undertake(s) to notify the recipient of any change in circumstances that causes any certification on this form to become incorrect and to provide a suitably updated form within 30 days of such change.
Certifications and Signature. Certifications: Modifications to any certifications are not valid or binding, unless otherwise agreed by ADB. Authorized Representative(s): Pass this application to authorized representative(s), who is (are) designated in the Evidence of Authority to Sign Withdrawal Applications form submitted to ADB. Verify that the list of authorized representative(s) has not been changed. STATEMENT OF EXPENDITURES (SOE) SHEET FOR APDRF GRANT SOE Sheet
a. Ensure that the total amount or the aggregate total amount of all SOE sheets agrees w ith the amount indicated in the w ithdraw al application for liquidation of advance fund
b. Applicable for liquidation of advance under the advance fund procedure. Indicate the actual foreign exchange rates used for each transaction (see additional notes and illustration on the next page).
Certifications and Signature. THIS CONTRACT MUST BE SIGNED IN INK BY AN AUTHORIZED REPRESENTATIVE OF Contractor. The undersigned certifies under penalty of perjury both individually and on behalf of Contractor is a duly authorized representative of Contractor, has been authorized by Contractor to make all representations, attestations, and certifications contained in this Contract and to execute this Contract on behalf of Contractor. ▇▇▇▇▇▇ COUNTY SIGNATURE BOARD OF COMMISSIONERS: [CONTRACTOR] SIGNATURE 1. STATEMENT OF SERVICES. Contractor shall perform Services as described below.
A. GENERAL INFORMATION. (Insert project background information, County objectives and any other general information that may be helpful to describe the context of this contractual relationship. This information may come from your solicitation document.)
B. REQUIRED SERVICES, DELIVERABLES AND DELIVERY SCHEDULE. (Describe specific services to be performed, deliverables to be provided, Goods to be delivered, the delivery schedule for the services, deliverables and Goods, including documents and reports, if any, to be created and delivered as part of the services. An individual reading the Contract must be able to easily answer the following questions: a. Who is purchasing? b. Who is selling? c. What is being purchased? d. How much is being purchased? e. When will it be delivered? f. How much will be paid and what is the payment method? g. When will payment be made? Be specific, clear, concise and complete when describing the intended performance obligations of the parties).
Certifications and Signature. THIS CONTRACT MUST BE SIGNED IN INK BY AN AUTHORIZED REPRESENTATIVE OF Contractor. The undersigned certifies under penalty of perjury both individually and on behalf of Contractor is a duly authorized representative of Contractor, has been authorized by Contractor to make all representations, attestations, and certifications contained in this Contract and to execute this Contract on behalf of Contractor. PATHFINDERS OF OREGON dba THE PATHFINDER NETWORK SIGNATURE
Certifications and Signature. THIS CONTRACT MUST BE SIGNED IN INK BY AN AUTHORIZED REPRESENTATIVE OF Contractor. The undersigned certifies under penalty of perjury both individually and on behalf of Contractor is a duly authorized representative of Contractor, has been authorized by Contractor to make all representations, attestations, and certifications contained in this Contract and to execute this Contract on behalf of Contractor. ▇▇▇▇▇▇ COUNTY SIGNATURE BOARD OF COMMISSIONERS: CENTER FOR HOPE AND SAFETY SIGNATURE
Certifications and Signature. Submissions by Prospective TAs shall include the following signed statement with their respective responses:
(a) Certificate Holders shall file an agreement providing for the establishment of the Trust (the “Trust Agreement”) within one hundred and twenty (120) days after issuance of this Certificate. The trustee selected by Certificate Holders to oversee the Trust (the “Trustee”) shall be, or shall be associated with, a bank accredited by and doing business in the State of New York. Both the Trust Agreement and the selection of the Trustee shall be subject to review and approval by the Commission (in consultation with NYSDEC) and, if required, the New York State Comptroller, and Attorney General.
(b) Within thirty (30) days of the Closing, the Certificate Holders shall endow the Trust with an interest-bearing account established at the Trustee bank, with a first payment of $2.5 million. Within one (1) month of the COD, the Certificate Holders shall make a second payment of $7.21 million (the “Second Payment”) into the Trust. Certificate Holders shall thereafter make annual payments to the Trust, adjusted as described below in Table 2 attached hereto, of $2.15 million on or before each anniversary of the date of the Second Payment for a period of thirty five (35) years. On the fifth (5th) anniversary of the Second Payment, Certificate Holders shall make a payment to the Trust of $5 million in addition to the annual payment. On each of the seventh (7th), ninth (9th), eleventh (11th), thirteenth (13th) and fifteenth (15th) anniversaries of the Second Payment, Certificate Holders shall make a payment to the Trust of $1 million in addition to the annual payment described above.
(c) Within thirty (30) days of the Closing, Certificate Holders shall prepare and file with the Commission for its approval a written agreement to govern the administration and operation of the Trust (the “Governance Agreement”). The Governance Agreement shall:
(i) provide that the funding commitments of the Certificate Holders will be fixed in accordance with Table 2 attached hereto and the terms stated in this condition, and that they will not be increased for any reason or decreased except as provided for in subsections (d)(vii) and (d)(ix) of this Certificate Condition;
(ii) establish a Governance Committee consisting of: Certificate Holders; DPS Staff; NYSDEC; NYSDOS; CNY; APA; the New York State Council of Trout Unlimited; Riverkeeper, Inc.; and Scenic ▇▇▇▇▇▇, Inc.;
(iii) authoriz...
Certifications and Signature. Please refer to the Standard Certifications and Covenants for EXIM Applications posted on EXIM’s website as document EIB 18-CN. THE STANDARD CERTIFICATIONS AND COVENANTS FOR EXIM APPLICATIONS ARE INCORPORATED INTO THIS BENEFICIARY CERTIFICATE AND AGREEMENT AS IF FULLY SET FORTH HEREIN. When signing this Beneficiary Certificate and Agreement in the space provided below, the undersigned authorized officer signing on our behalf certifies and represents that he or she is fully authorized to sign on our behalf, and that HE OR SHE HAS READ the Standard Certifications and Covenants for EXIM Applications AND IS CERTIFYING AND COVENANTING, as appropriate, to all of the certifications, acknowledgments and covenants set forth in that document.
Certifications and Signature. THIS CONTRACT MUST BE SIGNED IN INK BY AN AUTHORIZED REPRESENTATIVE OF Contractor. The undersigned certifies under penalty of perjury both individually and on behalf of Contractor is a duly authorized representative of Contractor, has been authorized by Contractor to make all representations, attestations, and certifications contained in this Contract and to execute this Contract on behalf of Contractor. ▇▇▇▇▇▇ COUNTY SIGNATURE BOARD OF COMMISSIONERS: [CONTRACTOR] SIGNATURE 1. STATEMENT OF SERVICES. Contractor shall perform Services as described below.
A. GENERAL INFORMATION. (Insert project background information, County objectives and any other general information that may be helpful to describe the context of this contractual relationship. This information may come from your solicitation document.) SAMPLE CONTRACT
B. REQUIRED SERVICES, DELIVERABLES AND DELIVERY SCHEDULE. (Describe the following:
Certifications and Signature. THIS PRICE AGREEMENT MUST BE SIGNED IN INK BY AN AUTHORIZED REPRESENTATIVE OF Contractor. The undersigned certifies under penalty of perjury both individually and on behalf of Contractor is a duly authorized representative of Contractor, has been authorized by Contractor to make all representations, attestations, and certifications contained in this Price Agreement and to execute this Price Agreement on behalf of Contractor. MARION COUNTY SIGNATURES BOARD OF COMMISSIONERS: ▇▇▇▇▇▇ HOLDINGS INC. DBA ▇▇▇▇▇▇ ASPHALT SIGNATURE: Exhibit 1: Cost Proposal Submission Form Exhibit 2: Request for Proposals #PW1299-23: Section 5. Scope of Work, Subsections 1.0 Delivery Location, Schedule, Price Agreement/Pricing, and Applicable Specifications through 4.0 Prevailing Wage Rates.
Certifications and Signature. THIS CONTRACT MUST BE SIGNED IN INK BY AN AUTHORIZED REPRESENTATIVE OF CONTRACTOR MARION COUNTY SIGNATURES BOARD OF COMMISSIONERS: [CONTRACTOR] SIGNATURE 1. STATEMENT OF SERVICES