AFFIDAVIT OF COMPLIANCE. (Missouri Unauthorized Alien Workers Act) My name is Xxxxx Xxxxx (Name) and I am the Chair (Title) of the Homeless Coalition (Company Name). I hereby represent, affirm and certify to the City of Joplin that my company does not knowingly employ any person who is an unauthorized alien in connection with contracted services with the City. I further affirm that my company is actively enrolled and participating in a federal work authorization program with respect to all employees working in connection with the contract services provided to the City. Affiant
AFFIDAVIT OF COMPLIANCE. Affidavit shall attest that supplied products conform to the referenced standard and this specification and that tests set forth in each applicable referenced publication have been performed and that test requirements have been met. Affidavits shall be provided for all pipe, ductile iron pipe liner, valves, pre-cast structures, pumps, generators, switch gears and other items as requested by the Town.
AFFIDAVIT OF COMPLIANCE. Upon request by the County, Contractor shall furnish an affidavit that the Polyacrylamide Polymer product furnished under the Agreement, complies with all applicable requirements of these specifications. Contractor shall also supply certification that the combination of dose and monomer level does not exceed 0.05% acrylamide dosed at 1 ppm.
AFFIDAVIT OF COMPLIANCE. Upon request by the County, Contractor shall furnish an affidavit that the Zinc-Metaphosphate product furnished to the County under this Agreement complies with all applicable requirements of these specifications.
AFFIDAVIT OF COMPLIANCE. Upon request by the County, Contractor shall furnish an affidavit attesting that the Quicklime product furnished under the Agreement complies with all applicable requirements of these specifications.
AFFIDAVIT OF COMPLIANCE. Contractor and all subcontractors shall complete this Affidavit of Compliance ("Affidavit") and submit supporting documentation as required pursuant to Responsible Bidder Requirements on Public Work Projects. Contractor must submit this Affidavit and all related evidence with its bid. Contractor shall be responsible for providing this Affidavit to all subcontractors who will perform work on the project. All subcontractors' Affidavits and supporting documentation must be submitted no later than the date and time of the contract award. Failure to comply with all submission requirements may result in a determination that the Contractor is not a responsible bidder. For the remainder of this Affidavit, "Contractor" refers to the general contractor and all subcontractors. Each item must be answered. If the question is not applicable, answer "NA." If the answer is none, answer "none." The certifications set forth in this Affidavit and all documents attached hereto shall become a part of any contract awarded to the Contractor. Furthermore, Contractor shall comply with these certifications during the term and/or performance of the contract. The undersigned Xxxxx Xxxxxxxxx , as President and on behalf (Name) (Title) of H & H Electric Company having been duly sworn under oath certifies that: (Contractor) Business Organization The form of business organization of the Contractor is (check one): _ Sole Proprietor or Partnership LLC _ Corporation _ Independent Contractor (Individual) If contractor/subcontractor is a corporation, indicate the state and the date of incorporation: State of Illinois, October 14, 1994 Authorized to do business in the State of Illinois: Yes [] No [] Describe supporting documentation attached: IL Secretary of State Certificate of Goo_d Standing Federal Employer I.D. #: 00-0000000 _ Social Security # (if an individual or sole proprietor): Registered with Illinois Department ofRevenue: Yes [] No [] Describe supporting documentation attached (if"No," explain): Registered with Illinois Department ofEmployment Security: Yes [] No [] Describe supporting documentation attached (if"No," explain): Tax liens or tax delinquencies Disclosure ofany federal, state or local tax liens or tax delinquencies against the contractor ofany officers of the contractor in the last five (5) years Yes [] No []
AFFIDAVIT OF COMPLIANCE. The purchaser may require, in his/her supplemental specifications, an affidavit from the manufacturer or vendor that the meters furnished under the purchaser’s order comply with all applicable requirements of the specification. Failure to meet any part of the specification shall be sufficient cause for rejection.
AFFIDAVIT OF COMPLIANCE. Prior to the Final Approval and Fairness Hearing, Class Counsel shall file an affidavit of mailing and publications with the Court stating that the Notice was duly provided to the Class Members and Summary Notice published in accordance with the Preliminary Approval Order.
AFFIDAVIT OF COMPLIANCE
