Affirmation and Certification Sample Clauses

Affirmation and Certification. All claimants must complete Section III. By signing below and submitting this claim, I, on behalf of myself and the members of my household identified above, swear or affirm under penalty of perjury that neither myself nor any member of my household has been fully compensated for loss, damages, or injury incurred as a result of the February 3, 2023 derailment of Norfolk Southern Train 32N, including the February 6, 2023 “vent and burn” (the “Incident”) by any prior insurance payments, and that all information contained herein and all information submitted to the Settlement Administrator is truthful and accurate. / / Signature of Claimant Date EXHIBIT B Business Loss Claim Form DocuSign EnvelopCe IaD:s6e9:FB46:62E37--7c8v72--04017234-9202-9B-4Y15P0C0DDoE3c56#C: 452-2 Filed: 04/26/24 49 of 74. PageID #: 6049 3106400000000 For Office Use Only MUST BE FILED ONLINE OR POSTMARKED NO LATER THAN <<DATE>> In re: East Palestine Train Derailment United States District Court for the Northern District of Ohio Case No. 4:23-cv-00242 BUSINESS LOSS CLAIM FORM Make address changes below: Address 1 Address 2 City State Zip CLASS MEMBER INFORMATION <<FirstName>> <<LastName>> <<Address1>> <<Address2>> <<City>>, <<ST>> <<Zip>>-<<Zip4>>
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Related to Affirmation and Certification

  • Representations and Warranties Borrower represents and warrants as follows:

  • Limitation of Liability No provision hereof, in the absence of any affirmative action by the Holder to exercise this Warrant to purchase Warrant Shares, and no enumeration herein of the rights or privileges of the Holder, shall give rise to any liability of the Holder for the purchase price of any Common Stock or as a stockholder of the Company, whether such liability is asserted by the Company or by creditors of the Company.

  • Amendments This Agreement may not be amended, modified or waived as to any particular provision, except by a written instrument executed by all parties hereto.

  • Amendment This Warrant may be modified or amended or the provisions hereof waived with the written consent of the Company and the Holder.

  • Severability Any provision of this Agreement that is prohibited or unenforceable in any jurisdiction shall, as to such jurisdiction, be ineffective to the extent of such prohibition or unenforceability without invalidating the remaining provisions hereof, and any such prohibition or unenforceability in any jurisdiction shall not invalidate or render unenforceable such provision in any other jurisdiction.

  • General Provisions In connection with any Registration Statement and any Prospectus required by this Agreement to permit the sale or resale of Transfer Restricted Securities (including, without limitation, any Registration Statement and the related Prospectus required to permit resales of Initial Securities by Broker-Dealers), each of the Company and the Guarantors shall:

  • Governing Law This Agreement shall be governed by and construed in accordance with the laws of the State of New York.

  • Indemnification In the event any Registrable Securities are included in a Registration Statement under this Agreement:

  • Entire Agreement This Agreement constitutes the entire agreement between the parties hereto with respect to the subject matter contained in this Agreement and supersedes all prior agreements, understandings and negotiations between the parties.

  • Miscellaneous The Vendor acknowledges and agrees that continued participation in TIPS is subject to TIPS sole discretion and that any Vendor may be removed from the participation in the Program at any time with or without cause. Nothing in the Agreement or in any other communication between TIPS and the Vendor may be construed as a guarantee that TIPS or TIPS Members will submit any orders at any time. TIPS reserves the right to request additional proposals for items or services already on Agreement at any time.

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