Common use of ACKNOWLEDGEMENTS AND ATTESTATIONS Clause in Contracts

ACKNOWLEDGEMENTS AND ATTESTATIONS. a. The Custodian of Data, as named in section (I)(d) of this Agreement, hereby acknowledges his/her appointment as Custodian of the aforesaid data on behalf of User, and agrees in a representative capacity to comply with all of the provisions of this Agreement on behalf of User. (Name of Custodian of Data – Typed or Printed) (Title/Component) (Signature) (Date Signed – mm/dd/yyyy)

ACKNOWLEDGEMENTS AND ATTESTATIONS. a. The Custodian of Data, as named in section (I)(d) of this Agreement, hereby acknowledges his/her appointment as Custodian of the aforesaid data on behalf of User, and agrees in a representative capacity to comply with all of the provisions of this Agreement on behalf of User. (Name Xxx Xxxxx Director Office of Custodian of Health Data – Typed or Printed) (Title/Component) & Research (Signature) (Date Signed – mm/dd/yyyy)