ATTESTATION. By signing this report, I certify to the best of my knowledge and belief that the foregoing is true, complete, and accurate. I am aware that any false, fictitious, or fraudulent information, or the omission of any material fact, may subject me to criminal, civil or administrative penalties for fraud, false statements, false claims or otherwise. (U.S. Code Title 18, Sections 3729-3730 and 3801-3812). Company Name Name and Title of Authorized Representative
Appears in 6 contracts
Sources: Tree Trimming and Related Services Contract, Rental Agreement, Contract No. Y19 1138 Mv, Emergency and Temporary Heating, Ventilation, and Air Conditioning (Hvac) Equipment Rental and Installation Services
ATTESTATION. By signing this report, I certify to the best of my knowledge and belief that the foregoing is true, complete, and accurate. I am aware that any false, fictitious, or fraudulent information, or the omission of any material fact, may subject me to criminal, civil or administrative penalties for fraud, false statements, false claims or otherwise. (U.S. Code Title 18, Sections 3729-3730 and 3801-3812). Company Name Name and Title of Authorized RepresentativeRepresentative Signature Date
Appears in 3 contracts
Sources: Contract for Street Sweeping Services, Contract for Street Sweeping Services, Contract No. Y19 133 Mv Street Sweeping Services for Epd Lake Management