Common use of Certification Regarding Public Access to Compensation Information Clause in Contracts

Certification Regarding Public Access to Compensation Information. Does the public have access to information about the compensation of the senior executives in your business or organization (including parent organization, all branches, and all affiliates worldwide) through periodic reports filed under section 13(a) or 15(d) of the Securities Exchange Act of 1934 (15 U.S.C. 78m(a), 78o(d)) or section 6104 of the Internal Revenue Code of 1986? Yes No If Yes, where can this information be found? If No, you must provide the names and total compensation of the top five highly compensated officers. Example: Xxxx Xxxx:500000;Xxxx Xxxx:50000;Xxxx Xxxx:400000;Xxxx Xxxxx:300000;Xxxxx Xxx:300000 Identify contact persons for FFATA Correspondence FFATA Contact Person #1 Name Email Telephone Xxxx Xxx xxxx@xx.xxxxxx.xx.xx (000) 000-0000 FFATA Contact Person #2 Name Email Telephone Xxxxx Xxxxxx-Xxxxxxxx xxxxxxx-xxxxxxxx@xx.xxxxxx.xx.xx (000) 000-0000 As the authorized representative of the Organization, I hereby certify that the statements made by me in this certification form are true, complete and correct to the best of my knowledge. E-Signature Date

Appears in 4 contracts

Samples: Department of State Health Services Contract, Department of State Health Services Contract, Department of State Health Services Contract

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Certification Regarding Public Access to Compensation Information. Does the public have access to information about the compensation of the senior executives in your business or organization (including parent organization, all branches, and all affiliates worldwide) through periodic reports filed under section 13(a) or 15(d) of the Securities Exchange Act of 1934 (15 U.S.C. 78m(a), 78o(d)) or section 6104 of the Internal Revenue Code of 1986? Yes No If Yes, where can this information be found? If No, you must provide the names and total compensation of the top five highly compensated officers. Example: Xxxx Xxxx:500000;Xxxx Xxxx:50000;Xxxx Xxxx:400000;Xxxx Xxxxx:300000;Xxxxx Xxx:300000 Identify contact persons for FFATA Correspondence FFATA Contact Person #1 Name Email Telephone Xxxx Xxx xxxx@xx.xxxxxx.xx.xx Xxxxxx X. Sturdivant xxxxxx.xxxxxxxxxx@xxxxxxxxxxxxxxxx.xxx (000) 000-0000 FFATA Contact Person #2 Name Email Telephone Xxxxx Xxxxxx-Xxxx Xxxxxxxx xxxxxxx-xxxxxxxx@xx.xxxxxx.xx.xx xxxx.xxxxxxxx@xxxxxxxxxxxxxxxx.xxx (000) 000-0000 As the authorized representative of the Organization, I hereby certify that the statements made by me in this certification form are true, complete and correct to the best of my knowledge. E-Signature Date

Appears in 4 contracts

Samples: Department of State, Department of State, Department of State Health Services Contract

Certification Regarding Public Access to Compensation Information. Does the public have access to information about the compensation of the senior executives in your business or organization (including parent organization, all branches, and all affiliates worldwide) through periodic reports filed under section 13(a) or 15(d) of the Securities Exchange Act of 1934 (15 U.S.C. 78m(a), 78o(d)) or section 6104 of the Internal Revenue Code of 1986? Yes No If Yes, where can this information be found? If No, you must provide the names and total compensation of the top five highly compensated officers. Example: Xxxx Xxxx:500000;Xxxx Xxxx:50000;Xxxx Xxxx:400000;Xxxx Xxxxx:300000;Xxxxx Xxx:300000 Identify contact persons for FFATA Correspondence FFATA Contact Person #1 Name Email Telephone Xxxx Xxx xxxx@xx.xxxxxx.xx.xx Xxxxx Xxxxxx xxxxx.xxxxxx@xx.xxxxxxx.tx.us (000) 000-0000 FFATA Contact Person #2 Name Email Telephone Xxxxx Xxxxxx-Xxx Xxxxxxxx xxxxxxx-xxxxxxxx@xx.xxxxxx.xx.xx xxx.xxxxxxxx@xxxxxxx.xx.xxxxxxx.tx.us (000) 000-0000 As the authorized representative of the Organization, I hereby certify that the statements made by me in this certification form are true, complete and correct to the best of my knowledge. E-Signature Date

Appears in 2 contracts

Samples: Department of State Health Services Contract, Department of State Health Services Contract

Certification Regarding Public Access to Compensation Information. Does the public have access to information about the compensation of the senior executives in your business or organization (including parent organization, all branches, and all affiliates worldwide) through periodic reports filed under section 13(a) or 15(d) of the Securities Exchange Act of 1934 (15 U.S.C. 78m(a), 78o(d)) or section 6104 of the Internal Revenue Code of 1986? Yes No If Yes, where can this information be found? If No, you must provide the names and total compensation of the top five highly compensated officers. Example: Xxxx Xxxx:500000;Xxxx Xxxx:50000;Xxxx Xxxx:400000;Xxxx Xxxxx:300000;Xxxxx Xxx:300000 Identify contact persons for FFATA Correspondence FFATA Contact Person #1 Name Email Telephone Xxxx Xxx xxxx@xx.xxxxxx.xx.xx (000) 000-0000 FFATA Contact Person #2 Name Email Telephone Xxxxx Xxxxxx-Xxxxxxxx xxxxxxx-xxxxxxxx@xx.xxxxxx.xx.xx xxxxxxx-xxxxxxxx@xx.xxxxxx.tx.us (000) 000-0000 As the authorized representative of the Organization, I hereby certify that the statements made by me in this certification form are true, complete and correct to the best of my knowledge. E-Signature Date

Appears in 2 contracts

Samples: Department of State Health Services Contract, Department of State Health Services Contract

Certification Regarding Public Access to Compensation Information. Does the public have access to information about the compensation of the senior executives in your business or organization (including parent organization, all branches, and all affiliates worldwide) through periodic reports filed under section 13(a) or 15(d) of the Securities Exchange Act of 1934 (15 U.S.C. 78m(a), 78o(d)) or section 6104 of the Internal Revenue Code of 1986? Yes No If Yes, where can this information be found? If No, you must provide the names and total compensation of the top five highly compensated officers. Example: Xxxx Xxxx:500000;Xxxx Xxxx:50000;Xxxx Xxxx:400000;Xxxx Xxxxx:300000;Xxxxx Xxx:300000 Identify contact persons for FFATA Correspondence FFATA Contact Person #1 Name Email Telephone Xxxx Xxx xxxx@xx.xxxxxx.xx.xx XXxx@xx.xxxxxx.tx.us (000) 000-0000 FFATA Contact Person #2 Name Email Telephone Xxxxx Xxxxxx-Xxxxxxxx xxxxxxx-xxxxxxxx@xx.xxxxxx.xx.xx XXxxxxx-Xxxxxxxx@xx.xxxxxx.tx.us (000) 000-0000 X As the authorized representative of the Organization, I hereby certify that the statements made by me in this certification form are true, complete and correct to the best of my knowledge. E-Signature Date

Appears in 2 contracts

Samples: Department of State, Department of State

Certification Regarding Public Access to Compensation Information. Does the public have access to information about the compensation of the senior executives in your business or organization (including parent organization, all branches, and all affiliates worldwide) through periodic reports filed under section 13(a) or 15(d) of the Securities Exchange Act of 1934 (15 U.S.C. 78m(a), 78o(d)) or section 6104 of the Internal Revenue Code of 1986? Yes No If Yes, where can this information be found? If No, you must provide the names and total compensation of the top five highly compensated officers. Example: Xxxx Xxxx:500000;Xxxx Xxxx:50000;Xxxx Xxxx:400000;Xxxx Xxxxx:300000;Xxxxx Xxx:300000 Identify contact persons for FFATA Correspondence FFATA Contact Person #1 Name Email Telephone Xxxx Xxx xxxx@xx.xxxxxx.xx.xx (000) 000-0000 FFATA Contact Person #2 Name Email Telephone Xxxxx Xxxxxx-Xxxxxxxx xxxxxxx-xxxxxxxx@xx.xxxxxx.xx.xx xxxxxxx-xxxxxxxx@xx.xxxxxx.tx.us (000) 000-0000 As the authorized representative of the Organization, I hereby certify that the statements made by me in this certification form are true, complete and correct to the best of my knowledge. E-Signature Date Xxxxx Self 08/05/2014 Print Message Sender: System, Grant Date: 9/10/2014 11:17:23 AM Subject: Contract Executed Message: Document Identifier: DCPS-2015-TB/PC-ST-00012 Organization Name: Collin County Contract has been signed and executed by DSHS.

Appears in 1 contract

Samples: Department of State Health Services Contract

Certification Regarding Public Access to Compensation Information. Does the public have access to information about the compensation of the senior executives in your business or organization (including parent organization, all branches, and all affiliates worldwide) through periodic reports filed under section 13(a) or 15(d) of the Securities Exchange Act of 1934 (15 U.S.C. 78m(a), 78o(d)) or section 6104 of the Internal Revenue Code of 1986? Yes No If Yes, where can this information be found? If No, you must provide the names and total compensation of the top five highly compensated officers. Example: Xxxx Xxxx:500000;Xxxx Xxxx:50000;Xxxx Xxxx:400000;Xxxx Xxxxx:300000;Xxxxx Xxx:300000 Identify contact persons for FFATA Correspondence FFATA Contact Person #1 Name Email Telephone Xxxx Xxx xxxx@xx.xxxxxx.xx.xx Xxxxxx X. Xxxxxxxxxx xxxxxx.xxxxxxxxxx@xxxxxxxxxxxxxxxx.xxx (000) 000-0000 FFATA Contact Person #2 Name Email Telephone Xxxxx Xxxxxx-Xxxx Xxxxxxxx xxxxxxx-xxxxxxxx@xx.xxxxxx.xx.xx xxxx.xxxxxxxx@xxxxxxxxxxxxxxxx.xxx (000) 000-0000 As the authorized representative of the Organization, I hereby certify that the statements made by me in this certification form are true, complete and correct to the best of my knowledge. E-Signature Date

Appears in 1 contract

Samples: Department of State

Certification Regarding Public Access to Compensation Information. Does the public have access to information about the compensation of the senior executives in your business or organization (including parent organization, all branches, and all affiliates worldwide) through periodic reports filed under section 13(a) or 15(d) of the Securities Exchange Act of 1934 (15 U.S.C. 78m(a), 78o(d)) or section 6104 of the Internal Revenue Code of 1986? Yes No If Yes, where can this information be found? If No, you must provide the names and total compensation of the top five highly compensated officers. Example: Xxxx Xxxx:500000;Xxxx Xxxx:50000;Xxxx Xxxx:400000;Xxxx Xxxxx:300000;Xxxxx Xxx:300000 Identify contact persons for FFATA Correspondence FFATA Contact Person #1 Name Email Telephone Xxxx Xxx xxxx@xx.xxxxxx.xx.xx XXxx@xx.xxxxxx.tx.us (000) 000-0000 FFATA Contact Person #2 Name Email Telephone Xxxxx Xxxxxx-Xxxxxxxx xxxxxxx-xxxxxxxx@xx.xxxxxx.xx.xx XXxxxxx-Xxxxxxxx@xx.xxxxxx.xx.xx (000) 000-0000 X As the authorized representative of the Organization, I hereby certify that the statements made by me in this certification form are true, complete and correct to the best of my knowledge. E-Signature Date

Appears in 1 contract

Samples: Department of State

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Certification Regarding Public Access to Compensation Information. Does the public have access to information about the compensation of the senior executives in your business or organization (including parent organization, all branches, and all affiliates worldwide) through periodic reports filed under section 13(a) or 15(d) of the Securities Exchange Act of 1934 (15 U.S.C. 78m(a), 78o(d)) or section 6104 of the Internal Revenue Code of 1986? Yes No If Yes, where can this information be found? If No, you must provide the names and total compensation of the top five highly compensated officers. Example: Xxxx Xxxx:500000;Xxxx Xxxx:50000;Xxxx Xxxx:400000;Xxxx Xxxxx:300000;Xxxxx Xxx:300000 Identify contact persons for FFATA Correspondence FFATA Contact Person #1 Name Email Telephone Xxxx Xxx xxxx@xx.xxxxxx.xx.xx Xxxxxxxxx xxxx.xxxxxxxxx@xxxxxxx.xxx (000) 000-0000 FFATA Contact Person #2 Name Email Telephone Xxxxx Xxxxxx-Xxxxxxxx xxxxxxx-xxxxxxxx@xx.xxxxxx.xx.xx Xxxx Xxxxxxx xxxx.xxxxxxx@xxxxxxxx.xxx (000) 000-0000 As the authorized representative of the Organization, I hereby certify that the statements made by me in this certification form are true, complete and correct to the best of my knowledge. E-Signature Date

Appears in 1 contract

Samples: Department of State Health Services Contract

Certification Regarding Public Access to Compensation Information. Does the public have access to information about the compensation of the senior executives in your business or organization (including parent organization, all branches, and all affiliates worldwide) through periodic reports filed under section 13(a) or 15(d) of the Securities Exchange Act of 1934 (15 U.S.C. 78m(a), 78o(d)) or section 6104 of the Internal Revenue Code of 1986? Yes No If Yes, where can this information be found? If No, you must provide the names and total compensation of the top five highly compensated officers. Example: Xxxx Xxxx:500000;Xxxx Xxxx:50000;Xxxx Xxxx:400000;Xxxx Xxxxx:300000;Xxxxx Xxx:300000 Identify contact persons for FFATA Correspondence FFATA Contact Person #1 Name Email Telephone Xxxx Xxx xxxx@xx.xxxxxx.xx.xx XXxx@xx.xxxxxx.xx.xx (000) 000-0000 FFATA Contact Person #2 Name Email Telephone Xxxxx Xxxxxx-Xxxxxxxx xxxxxxx-xxxxxxxx@xx.xxxxxx.xx.xx XXxxxxx-Xxxxxxxx@xx.xxxxxx.xx.xx (000) 000-0000 X As the authorized representative of the Organization, I hereby certify that the statements made by me in this certification form are true, complete and correct to the best of my knowledge. E-Signature Date

Appears in 1 contract

Samples: Department of State Health Services Contract

Certification Regarding Public Access to Compensation Information. Does the public have access to information about the compensation of the senior executives in your business or organization (including parent organization, all branches, and all affiliates worldwide) through periodic reports filed under section 13(a) or 15(d) of the Securities Exchange Act of 1934 (15 U.S.C. 78m(a), 78o(d)) or section 6104 of the Internal Revenue Code of 1986? Yes No If Yes, where can this information be found? If No, you must provide the names and total compensation of the top five highly compensated officers. Example: Xxxx Xxxx:500000;Xxxx Xxxx:50000;Xxxx Xxxx:400000;Xxxx Xxxxx:300000;Xxxxx Xxx:300000 Identify contact persons for FFATA Correspondence FFATA Contact Person #1 Name Email Telephone Xxxx Xxx xxxx@xx.xxxxxx.xx.xx (000) 000-0000 FFATA Contact Person #2 Name Email Telephone Xxxxx Xxxxxx-Xxxxxxxx xxxxxxx-xxxxxxxx@xx.xxxxxx.xx.xx XXxxxxx-Xxxxxxxx@xx.xxxxxx.tx.us (000) 000-0000 As the authorized representative of the Organization, I hereby certify that the statements made by me in this certification form are true, complete and correct to the best of my knowledge. E-Signature Date

Appears in 1 contract

Samples: Department of State Health Services Contract

Certification Regarding Public Access to Compensation Information. Does the public have access to information about the compensation of the senior executives in your business or organization (including parent organization, all branches, and all affiliates worldwide) through periodic reports filed under section 13(a) or 15(d) of the Securities Exchange Act of 1934 (15 U.S.C. 78m(a), 78o(d)) or section 6104 of the Internal Revenue Code of 1986? Yes No If Yes, where can this information be found? If No, you must provide the names and total compensation of the top five highly compensated officers. Example: Xxxx Xxxx:500000;Xxxx Xxxx:50000;Xxxx Xxxx:400000;Xxxx Xxxxx:300000;Xxxxx Xxx:300000 Identify contact persons for FFATA Correspondence FFATA Contact Person #1 Name Email Telephone Xxxx Xxx xxxx@xx.xxxxxx.xx.xx Xxxxxxxx Xxxxxxx Xxxxxxxxx@xxxxxxx.xxx (000) 000-0000 FFATA Contact Person #2 Name Email Telephone Xxxxx Xxxxxx-Xxxxxxxx xxxxxxx-xxxxxxxx@xx.xxxxxx.xx.xx Xxxxxxx Xxxxxxxxx Xxxxxxxx@xxxxxxx.xxx (000) 000-0000 As the authorized representative of the Organization, I hereby certify that the statements made by me in this certification form are true, complete and correct to the best of my knowledge. E-Signature Date

Appears in 1 contract

Samples: Department of State Health Services Contract

Certification Regarding Public Access to Compensation Information. Does the public have access to information about the compensation of the senior executives in your business or organization (including parent organization, all branches, and all affiliates worldwide) through periodic reports filed under section 13(a) or 15(d) of the Securities Exchange Act of 1934 (15 U.S.C. 78m(a), 78o(d)) or section 6104 of the Internal Revenue Code of 1986? Yes No If Yes, where can this information be found? If No, you must provide the names and total compensation of the top five highly compensated officers. Example: Xxxx Xxxx:500000;Xxxx Xxxx:50000;Xxxx Xxxx:400000;Xxxx Xxxxx:300000;Xxxxx Xxx:300000 Identify contact persons for FFATA Correspondence FFATA Contact Person #1 Name Email Telephone Xxxx Xxx xxxx@xx.xxxxxx.xx.xx xxxx@xxxxxxxxxxxxxx.xxx (000) 000-0000 FFATA Contact Person #2 Name Email Telephone Xxxxx Xxxxxx-Xxxxxxxx xxxxxxx-xxxxxxxx@xx.xxxxxx.xx.xx xxxxxxx-xxxxxxxx@xxxxxxxxxxxxxx.xxx (000) 000-0000 As the authorized representative of the Organization, I hereby certify that the statements made by me in this certification form are true, complete and correct to the best of my knowledge. E-Signature DateDate Xxxxx Self 08/11/2015  UNIT A Program Stewardship and Accountability

Appears in 1 contract

Samples: Department of State Health Services Contract

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