CERTIFICATE OF CONTRACTOR. Contractor certifies that neither Contractor nor any members of Contractor's firm nor any Subcontractor has:
8.20.1 Employed or retained for a commission, percentage, brokerage, contingency fee or other consideration, any firm or person (other than a bona fide employee working solely for Contractor) to solicit or secure the work provided by the Agreement.
8.20.2 Agreed, as an expressed or implied condition for obtaining this Agreement, to employ or retain the services of any firm or person other than in connection with carrying out the work to be performed under this Agreement.
8.20.3 Paid or agreed to pay to any firm, organization, or person (other than bona fide employees working solely for Contractor) any fee, contribution, donation, or consideration of any kind for, or in connection with, procuring or carrying out the work provided under this Agreement.
8.20.4 Been suspended or debarred from federal or state procurement. Contractor further agrees that this certification may be furnished to any local, state or federal government agencies in connection with this Agreement and for those portions of the program involving participation of agency grant funds and is subject to all applicable state and federal, criminal and civil laws.
CERTIFICATE OF CONTRACTOR. I, , certify that I am a/the (designate sole proprietor, partner in partnership, or specify corporate office, e.g., secretary) in the entity named as Contractor in the foregoing Contract. I hereby expressly certify that the name of the entity to which I am associated is ; that this entity is in good standing and has complied with all applicable laws and regulations, and that I have been expressly authorized by the proper parties in this entity to execute this contract on behalf of the above-named entity. Date By: Signature Name/Title (Please Print) ATTEST: By: Signature Name/Title (Please Print) Description of Contract: VISTA VALLEY VILLAS PRS PROJECT Name of Contractor: The above-named Contractor hereby acknowledges payment in full for all compensation of whatever nature due the Contractor for all labor and materials furnished and for all work performed on the above-referenced project for the period specified above with the exception of contract retention amounts and disputed claims specifically shown below. RETENTION AMOUNT FOR THIS PERIOD: $ DISPUTED CLAIMS DESCRIPTION OF CLAIM AMOUNT CLAIMED The Contractor further expressly waives and releases any claim the Contractor may have, of whatever type or nature, for the period specified which is not shown as a retention amount or a disputed claim on this form. This release and waiver has been made voluntarily by Contractor without any fraud, duress, or undue influence by any person or entity. Contractor further certifies, warrants and represents that all bills for labor, materials and work due Subcontractors for the specified period have been paid in full and that the parties signing below on behalf of Contractor have express authority to execute this release. Dated: (Print Name of Contractor) (Describe Entity: Partnership, Corporation, etc.) By: By: By: CONTRACTOR’S CERTIFICATE REGARDING WORKERS’ COMPENSATION Description of Contract: This work includes rock excavation into an existing slope and the construction of concrete masonry unit (CMU) retaining walls and concrete pad for a new pressure regulating station (PRS) installation. The work includes furnishing and installing a pre- designed PRS and tying into an existing water main in two (2) places with new valves and piping to connect the new PRS to the water system. Additionally, the work includes installing two (2) new valves in existing water mains and also removing an existing piping cross and connecting the two (2) piping runs together. Labor Code Sect...
CERTIFICATE OF CONTRACTOR. Contractor Tax Identification Information. Contractor shall provide Contractor's Social Security number or Contractor’s federal tax ID number and the additional information set forth below prior to DOJ Contract Administrator prior to execution of the Contract. This information is requested pursuant to ORS 305.385 and OAR 125-246-0330(3). Social Security Numbers provided pursuant to this Section will be used for the administration of state, federal and local tax laws. Name (tax filing): Address: Citizenship, if applicable: Non-resident alien Yes No N/A Business Designation: Federal Tax ID#: DOJ may report the information set forth above to the Internal Revenue Service (IRS) under the name and social security number or taxpayer identification number provided.
CERTIFICATE OF CONTRACTOR. Contractor certifies that neither Contractor nor any members of Contractor's firm nor any Subcontractor has:
11.13.1 Employed or retained for a commission, percentage, brokerage, contingency fee or other consideration, any firm or person (other than a bona fide employee working solely for Contractor) to solicit or secure the work provided by the Agreement.
11.13.2 Agreed, as an expressed or implied condition for obtaining this Agreement, to employ or retain the services of any firm or person other than in connection with carrying out the work to be performed under this Agreement.
11.13.3 Paid or agreed to pay to any firm, organization, or person (other than bona fide employees working solely for Contractor) any fee, contribution, donation, or consideration of any kind for, or in connection with, procuring or carrying out the work provided under this Agreement. Contractor acknowledges that this certification may be furnished to any local, state or federal government agencies in connection with this Agreement and for those portions of the program involving participation of agency grant funds and is subject to all applicable state and federal, criminal and civil laws.
CERTIFICATE OF CONTRACTOR. I am a duly authorized representative of the firm of Xxxxxxxxx Xxxxxxx, whose address is 0000 Xxxxx Xxxxxxxxx Xxx, Xxxxxxxx, XX 00000 and I hereby certify as follows:
CERTIFICATE OF CONTRACTOR. 5.1. Contractor certifies that the Contractor is properly certified and licensed under the laws and regulations of the State of California to perform the Work that it has herein agreed to perform.
