Authorized Agent Signature Sample Clauses

Authorized Agent Signature. By signing this Agreement, the undersigned represents and warrants that he or she has received and read a copy of this Agreement, inclusive of attachments and exhibits, and that he or she is either (a) the Participant or, (b) if the Participant is an organization, an individual acting on the Participant’s behalf who is authorized to sign and enter into this Agreement.
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Authorized Agent Signature. Please have an authorized agent sign the report certification in the space provided. This must be completed in order for the Agency: Agreement #: Budget Period: to Reporting Period: to % of Budget Period Elapsed If Applicable to Agreement: To-Date In-Kind To-Date Match Expenditures Expenditures $ - $ - Budget Report Period Expenditures To-Date Total Expenditures % Spent To-Date Salaries & Wages $ - $ - $ - - - $ - $ - - - $ - $ - - - $ - $ - - - $ - $ - - - $ - $ - - Fringe Benefits $ - $ - $ - - $ - $ - - $ - $ - - $ - $ - - $ - $ - - - $ - $ - - Equipment $ - $ - $ - - $ - $ - Supplies $ - $ - $ - - $ - $ - Sub Agreements* $ - $ - $ - - $ - $ - Other $ - $ - $ - - $ - $ - - $ - $ - - - $ - $ - - - $ - $ - - - $ - $ - - Total Direct Charges $ - $ - $ - - $ - $ - Indirect $ - $ - $ - - $ - $ - Totals $ - $ - $ - - $ - $ - I certify to the best of my knowledge and belief that the report is true, complete and accurate, and the expenditures, disbursements and cash receipts are for the purposes and objectives set forth in the terms and conditions of the federal award. 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. (2 CFR 200.415) Authorized Agent Signature Date Report Prepared By Phone Agency: Agreement #: Budget Period: to Reporting Period: to Sub Agreement #1 Agency % of Budget Period Elapsed - If Applicable to Agreement: Budget Report Period Expenditures To-Date Total Expenditures % Spent To-Date To-Date In-Kind Expenditures To-Date Match Expenditures Salaries & Wages $ - $ - $ - - $ - $ - Fringe Benefits $ - $ - $ - - $ - $ - Travel $ - $ - $ - - $ - $ - Equipment $ - $ - $ - - $ - $ - Supplies $ - $ - $ - - $ - $ - Sub Agreements $ - $ - $ - - $ - $ - Other $ - $ - $ - - $ - $ - Total Direct Charges $ - $ - $ - - $ - $ - Indirect $ - $ - $ - - $ - $ - Totals $ - $ - $ - - $ - $ - Sub Agreement #2 Agency % of Budget Period Elapsed - If Applicable to Agreement: Budget Report Period Expenditures To-Date Total Expenditures % Spent To-Date To-Date In-Kind Expenditures To-Date Match Expenditures Salaries & Wages $ - $ - $ - - $ - $ - Fringe Benefits $ - $ - $ - - $ - $ - Travel $ - $ - $ - - $ - $ - Equipment $ - $ - $ - - $ - $ - Supplies $ - $ - $ - - $ - $ - Sub Agreements $ - $ - $ - - $ - $ - Other $ - $ - $ - - $ - $ - Total Direct Charges $ - $ - $ - - $ - $ - Indirect $ - $ - $ - - ...
Sample 1

Related to Authorized Agent Signature

  • AUTHORIZED AGENTS On the Closing Date and from time to time thereafter, the Borrower shall deliver to the Administrative Agent an Officer’s Certificate setting forth the names of the employees and agents authorized to request Loans and Letters of Credit and to request a conversion/continuation of any Loan and containing a specimen signature of each such employee or agent. The employees and agents so authorized shall also be authorized to act for the Borrower in respect of all other matters relating to the Loan Documents. The Administrative Agent, the Arrangers, the Co-Agents, the Lenders and any Issuing Bank shall be entitled to rely conclusively on such employee’s or agent’s authority to request such Loan or Letter of Credit or such conversion/continuation until the Administrative Agent and the Arrangers receive written notice to the contrary. None of the Administrative Agent or the Arrangers shall have any duty to verify the authenticity of the signature appearing on any written Notice of Borrowing or Notice of Conversion/Continuation or any other document, and, with respect to an oral request for such a Loan or Letter of Credit or such conversion/continuation, the Administrative Agent and the Arrangers shall have no duty to verify the identity of any person representing himself or herself as one of the employees or agents authorized to make such request or otherwise to act on behalf of the Borrower. None of the Administrative Agent, the Arrangers or the Lenders shall incur any liability to the Borrower or any other Person in acting upon any telephonic or facsimile notice referred to above which the Administrative Agent or the Arrangers believes to have been given by a person duly authorized to act on behalf of the Borrower and the Borrower hereby indemnifies and holds harmless the Administrative Agent, each Arranger and each other Lender from any loss or expense the Administrative Agent, the Arrangers or the Lenders might incur in acting in good faith as provided in this Section 2.7.

  • Authorized Signatories Each party represents that the individuals signing this agreement on its behalf are authorized, and intend, to bind the organization in contract.

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