Agency Certification. As designated representatives of the agencies participating in the matching program, we certify that:
Agency Certification. In addition to the acceptance of this contract, I also certify that original copies of this signature page will be attached to all other exact copies of this contract.
Agency Certification. In addition to the acceptance of this Contract, I also certify that original copies of this signature page will be attached to all other exact copies of this contract." (Company Name) THE PEOPLE OF THE STATE OF NEW YORK By: By: Name: Title: Name: Title: Date: Federal I.D. No.: Date: OFFICE OF THE STATE COMPTROLLER: Xxxxxx XxXxxxxx, NYS Comptroller INDIVIDUAL, CORPORATION, PARTNERSHIP, OR LLC ACKNOWLEDGMENT STATE OF : SS.: COUNTY OF On the day of in the year 20 , before me personally appeared , known to me to be the person who executed the foregoing instrument, who, being duly sworn by me did depose and say that _he resides at , Town of , County of , State of ; and further that: [Check One] ( If an individual): _he executed the foregoing instrument in his/her name and on his/her own behalf. ( If a corporation): _he is the of , the corporation described in said instrument; that, by authority of the Board of Directors of said corporation, _he is authorized to execute the foregoing instrument on behalf of the corporation for purposes set forth therein; and that, pursuant to that authority, _he executed the foregoing instrument in the name of and on behalf of said corporation as the act and deed of said corporation. ( If a partnership): _he is the of , the partnership described in said instrument; that, by the terms of said partnership, _he is authorized to execute the foregoing instrument on behalf of the partnership for purposes set forth therein; and that, pursuant to that authority, _he executed the foregoing instrument in the name of and on behalf of said partnership as the act and deed of said partnership. ( If a limited liability company): _he is a duly authorized member of , LLC, the limited liability company described in said instrument; that _he is authorized to execute the foregoing instrument on behalf of the limited liability company for purposes set forth therein; and that, pursuant to that authority, _he executed the foregoing instrument in the name of and on behalf of said limited liability company as the act and deed of said limited liability company. Notary Public Registration No. State of: Appendix A STANDARD CLAUSES FOR NEW YORK STATE CONTRACTS [Text not included at this time because it is included elsewhere in the solicitation. Will be added when contract is finalized] Appendix B Office of General Services General Specifications Appendix C1 Contractor’s Proposal Appendix D
Agency Certification. In addition to the acceptance of this contract, I also certify that original copies of this signature page will be attached to all other exact copies of this contract. Attorney General: Approved: Xxxxxx X. XxXxxxxx, State Comptroller By: Date: APPENDIX A STANDARD CLAUSES FOR NEW YORK STATE CONTRACTS PLEASE RETAIN THIS DOCUMENT FOR FUTURE REFERENCE. October 2019 STANDARD CLAUSES FOR NYS CONTRACTS APPENDIX A TABLE OF CONTENTS Page 1. Executory Clause 3
Agency Certification. “In addition to the acceptance of this contract, I also certify that original copies of this signature page will be attached to all other copies of this contract.” THE PEOPLE OF THE STATE OF NEW YORK by___________________________________ Commissioner of Transportation ___________________________ Utility Owner by_________________________ APPROVED AS TO FORM ___________________________ Attorney General APPROVED ___________________________ State Comptroller STATE OF NEW YORK ) )ss.: COUNTY OF ) On this __________ day of ________________, before me personally came ____________________________, to me known, who, being by me duly sworn, did depose and say that he/she resides in , New York; that he/she is the _______________________________ of _______________________, the Utility Owner described in and which executed the above instrument; and that he/she signed his/her name thereto by order of the Board of Directors of said Utility Owner. ___________________________________
Agency Certification. As designated representatives of the agencies participating in the matching program, we certify that: (i) the matching program will be conducted without change; and (ii) the matching program has been conducted in compliance with the current agreement.
Agency Certification. As designated representatives of the agencies shown above, we certify that the subject matching program has been conducted in compliance with the existing computer matching agreement between the parties, and we also agree to conduct the matching program without change for one additional year, subject to the approval of the respective Data Integrity Boards. XXXX X. Digitally signed by XXXX X. XXXXXX 302388 XXXXXX 302388 Date: 2020.03.30 10:57:43 -04'00' SORRENTO.MICH Digitally signed by SORRENTO.XXXXXXX.V.139963 AEL.V.1399639162 9162 Date: 2020.03.05 16:55:54 -05'00' Xxxx Xxxxxx Xxxxxxx X. Xxxxxxxx Executive Director Director, Defense Manpower Data Center Compensation Service 0000 Xxxx Xxxxxx Xxxxx Veterans Benefits Administration Suite 04E25 000 Xxxxxxx Xxx, XX Xxxxxxxxxx, XX 00000 Xxxxxxxxxx, XX 00000 Date Date
Agency Certification. “In addition to the acceptance of this contract, I also certify that original copies of this signature page will be attached to all other copies of this contract.” _____________________________ CORPORATION By:__________________________ STATE OF ) )ss: COUNTY OF ) On this day of , 20 , before me personally came _____________________,to me known, who, being by me duly sworn, did depose and say that he/she resides in the , New York; that he/she is the of the , the Transportation Corporation described in and which executed the above instrument; and that he/she signed his/her name thereto by order of the Board of Directors of Said Corporation. _________________ Notary Public APPROVED FOR NYSDOT: APPROVED AS TO FORM: STATE OF NEW YORK ATTORNEY GENERAL By: _________________________ ________ for the Commissioner Date of Transportation By: _________________________________ Assistant Attorney General COMPTROLLER’S APPROVAL: By: __________________________________ For the New York State Comptroller Pursuant to State Finance Law §112
Agency Certification. In addition to the acceptance of this contract, I also certify that original copies of this signature page will be attached to all other exact copies of this contract. By: Xxxx, Vice President, Chair (Name Typed Here) By: Xxxxx X. Xxxx, Vice President of Administration Date: Date:
Agency Certification. In addition to the acceptance of this contract, I also certify that original copies of this signature page will be attached to all other exact copies of this contract. By:___________________________________________ Date:_________________________ Xxxx, Vice President, Chair (Name Typed Here) By:___________________________________________ Date:_________________________ Xxxxx X. Xxxxx, Controller Contractor Certification: I certify that all information provided to the University at Albany, SUNY regarding my firm or any and all subcontractors, is complete, true and accurate with regard to (i) any prior non-responsibility determinations within the past four years based upon impermissible contacts or other violations of State Finance Law §139-j, as amended, and §139-k, as amended, (ii) is not found on the prohibited entities list developed as a result of the Iran Divestment Act of 2012, NY State Finance Law §165-a, or (iii) the intentional provisions of false or incomplete information to the University at Albany, SUNY. By: ___________________________________ Date: __________________________ Name: ________________________________ Title: __________________________ Contractor: _______________________________________________________________________________ Address: _________________________________________________________________________________ Approved as to Form Approved and Filed Date ______________________ Date: ____________________ Xxxxxxx X. Xxxxx Xxxxxx X. XxXxxxxx Attorney General State Comptroller By: __________________________ By: _________________________
