Common use of Certification Regarding Suspension or Debarment Clause in Contracts

Certification Regarding Suspension or Debarment. Contractor certifies under the pains and penalties of perjury that, as of the date this SOW Agreement is signed, neither Contractor nor Contractor’s principals (officers, directors, owners, or partners) are presently debarred, suspended, proposed for debarment, declared ineligible or excluded from participation in federal programs, or programs supported in whole or in part by federal funds. Contractor further certifies under pains and penalties of perjury that, as of the date this SOW Agreement is signed, Contractor is not presently debarred, suspended, nor named on the State’s debarment list at: xxxx://xxx.xxxxxxx.xxx/purchasing/debarment. 7.3. Child Support (Applicable to natural persons only; not applicable to corporations, partnerships or LLCs). Contractor certifies that it is under no obligation to pay child support or is in good standing with respect to or in full compliance with a plan to pay any and all child support payable under a support order as of the date of this amendment. Insert SOW contractor Name Signature Date STATE OF VERMONT, Insert Requesting Agency or Department name (NOTE: Text that appears in orange letters is instructive only and should be deleted from the final SOW-Amendment. Text in yellow highlighting must be updated or deleted. Utilize or delete paragraphs as appropriate to the amendment. Text that appears in black letters should be included in the amendment as is.) SOW-AGREEMENT #_ Amendment No. _ PRE-QUALIFICATION CONTRACT # (“Master Agreement”) This is a Statement of Work Agreement Amendment between the State of Vermont, [CONTRACTING AGENCY] (“State”) and ., with principal place of business at , (“Contractor”). This SOW Agreement Amendment is entered into in accordance with the above-identified Master Agreement and the SOW Agreement, as well as any amendment(s) thereto. The parties acknowledge and agree that all of the terms and conditions of the Master Agreement are hereby incorporated by reference into this SOW Agreement Amendment. This SOW Agreement Amendment supplements the Master Agreement only as to the below provisions that define project scope of work. Any other provisions, including those purporting to create any additional State obligation, or those that would in any way alter or qualify any term or condition of the Master Contract, shall be deemed null and void. This SOW Agreement Amendment shall supplement the Master Agreement and any provisions of this SOW Agreement Amendment which purport to amend, conflict or supersede the Master Agreement shall be void and have no effect. For purposes of this SOW Agreement Amendment, the terms and conditions of the Master Agreement shall take precedence and supersede in the event of any ambiguity, conflict or inconsistency with the provisions in this SOW Agreement Amendment, including any attachments hereto. Pursuant to this SOW Agreement Amendment, the SOW Agreement is amended as follows: (remove/expand/revise the below amendment items, as applicable)

Certification Regarding Suspension or Debarment. Contractor certifies under the pains and penalties of perjury that, as of the date this SOW Agreement is signed, neither Contractor nor Contractor’s principals (officers, directors, owners, or partners) are presently debarred, suspended, proposed for debarment, declared ineligible or excluded from participation in federal programs, or programs supported in whole or in part by federal funds. Contractor further certifies under pains and penalties of perjury that, as of the date this SOW Agreement is signed, Contractor is not presently debarred, suspended, nor named on the State’s debarment list at: xxxx://xxx.xxxxxxx.xxx/purchasing/debarment. 7.3. Child Support (Applicable to natural persons only; not applicable to corporations, partnerships or LLCs). Contractor certifies that it is under no obligation to pay child support or is in good standing with respect to or in full compliance with a plan to pay any and all child support payable under a support order as of the date of this amendment. Insert SOW contractor Name Signature Date STATE OF VERMONT, Insert Requesting Agency or Department name (NOTE: Text that appears in orange letters is instructive only and should be deleted from the final SOW-Amendment. Text in yellow highlighting must be updated or deleted. Utilize or delete paragraphs as appropriate to the amendment. Text that appears in black letters should be included in the amendment as is.) SOW-AGREEMENT #_ Amendment No. _ PRE-QUALIFICATION CONTRACT # (“Master Agreement”) This is a Statement of Work Agreement Amendment between the State of Vermont, [CONTRACTING AGENCY] (“State”) and ., with principal place of business at , (“Contractor”). This SOW Agreement Amendment is entered into in accordance with the above-identified Master Agreement and the SOW Agreement, as well as any amendment(s) thereto. The parties acknowledge and agree that all of the terms and conditions of the Master Agreement are hereby incorporated by reference into this SOW Agreement Amendment. This SOW Agreement Amendment supplements the Master Agreement only as to the below provisions that define project scope of work. Any other provisions, including those purporting to create any additional State obligation, or those that would in any way alter or qualify any term or condition of the Master Contract, shall be deemed null and void. This SOW Agreement Amendment shall supplement the Master Agreement and any provisions of this SOW Agreement Amendment which purport to amend, conflict or supersede the Master Agreement shall be void and have no effect. For purposes of this SOW Agreement Amendment, the terms and conditions of the Master Agreement shall take precedence and supersede in the event of any ambiguity, conflict or inconsistency with the provisions in this SOW Agreement Amendment, including any attachments hereto. Pursuant to this SOW Agreement Amendment, the SOW Agreement is amended as follows: (remove/expand/revise the below amendment items, as applicable)

Certification Regarding Suspension or Debarment. Contractor certifies under the pains and penalties of perjury that, as of the date this SOW Agreement contract amendment is signed, neither Contractor nor Contractor’s 's principals (officers, directors, owners, or partners) are presently debarred, suspended, proposed for debarment, declared ineligible or excluded from participation in federal programs, or programs supported in whole or in part by federal funds. Contractor further certifies under pains and penalties of perjury that, as of the date this SOW Agreement contract amendment is signed, Contractor is not presently debarred, suspended, nor named on the State’s 's debarment list at: xxxx://xxx.xxxxxxx.xxx/purchasing/debarment. 7.3xxxx://xxx.xxxxxxx.xxx/purchasing-contracting/debarment This document consists of 2 pages. Except as modified by this Amendment No. 3 , all provisions of the Contract remain in full force and effect. Date: Signature: Date: Signature: Name: Title: Xxxxxxxx Xxxxx Commissioner - Buildings and General Services Name: Title: Email: Email: It is hereby agreed by and between the State of Vermont, Office of Purchasing and Contracting (the "State") and The Hertz Corporation, with a principal place of business in Estero FL (the "Contractor") that the contract between them originally dated as of October 19, 2019, Contract # 39199, as amended to date, (the “Contract”) is hereby amended as follows: I. Attachment D: STATE OF VERMONT- FEDERAL TERMS SUPPLEMENT (Non- Construction). Attachment D: STATE OF VERMONT- FEDERAL TERMS SUPPLEMENT (Non-Construction) is herby incorporated in its entirety into contract # 36199. Child Support (Applicable to natural persons only; not applicable to corporations, partnerships or LLCs). Contractor certifies that it is under no obligation to pay child support or is in good standing with respect to or in full compliance with a plan to pay any and all child support payable under a support order as of the date of this amendment. Insert SOW contractor Name Signature Date STATE OF VERMONT, Insert Requesting Agency or Department name (NOTE: Text that appears in orange letters is instructive only and should be deleted from the final SOW-Amendment. Text in yellow highlighting must be updated or deleted. Utilize or delete paragraphs as appropriate to the amendment. Text that appears in black letters should be included in the amendment as is.) SOW-AGREEMENT #_ Amendment No. _ PRE-QUALIFICATION CONTRACT # (“Master Agreement”) This is a Statement of Work Agreement Amendment between the State of Vermont, [CONTRACTING AGENCY] (“State”) and ., with principal place of business at , (“Contractor”). This SOW Agreement Amendment is entered into in accordance with the above-identified Master Agreement and the SOW Agreement, as well as any amendment(s) thereto. The parties acknowledge and agree that all of the terms and conditions of the Master Agreement are hereby incorporated by reference into this SOW Agreement Amendment. This SOW Agreement Amendment supplements the Master Agreement only as to the below provisions that define project scope of work. Any other provisions, including those purporting to create any additional State obligation, or those that would in any way alter or qualify any term or condition of the Master Contract, shall be deemed null and void. This SOW Agreement Amendment shall supplement the Master Agreement and any provisions of this SOW Agreement Amendment which purport to amend, conflict or supersede the Master Agreement shall be void and have no effect. For purposes of this SOW Agreement Amendment, the terms and conditions of the Master Agreement shall take precedence and supersede in the event of any ambiguity, conflict or inconsistency with the provisions in this SOW Agreement Amendment, including any attachments hereto. Pursuant to this SOW Agreement Amendment, the SOW Agreement is amended as follows: (remove/expand/revise the below amendment items, as applicable)