Consulting Agreements Representation. Pursuant to Section 4a-81 of the Connecticut General Statutes, the Contractor represents that it has not entered into any consulting agreements in connection with this Contract, except for the agreements listed below. "
Consulting Agreements Representation. Pursuant to section 4a-81 of the Connecticut General Statutes, the Contractor makes the representations set forth in Exhibit C, Consulting Agreements Representation.
Consulting Agreements Representation. Pursuant to section 4a-81 of the Connecticut General Statutes, the Contractor makes the representations set forth in Exhibit C, Consulting Agreements Representation. The parties are executing this Contract on the date below their respective signatures. (CONTRACTOR) BY: Name: Title: Duly Authorized Date: STATE OF CONNECTICUT Department of [Agency name] BY: __________________ Name: Title: Duly Authorized State of Connecticut CONTRACT #: EXHIBIT C CONSULTING AGREEMENTS REPRESENTATION
Consulting Agreements Representation. Pursuant to section 4a-81 of the Connecticut General Statues, the person signing this Contract on behalf of the Contractor represents, to their best knowledge and belief and subject to the penalty of false statement as provided in section 53a-157b of the Connecticut General Statues, that the Contractor has not entered into any consulting agreements in connection with this Contract, except for the agreements listed below or in an attachment to this Contract. “Consulting agreement” means any written or oral agreement to retain the services, for a fee, of a consultant for the purposes of (A) providing counsel to a contractor, vendor, consultant or other entity seeking to conduct, or conducting, business with the State, (B) contacting, whether in writing or orally, any executive, judicial, or administrative office of the State, including any department, institution, bureau, board, commission, authority, official or employee for the purpose of solicitation, dispute resolution, introduction, requests for information, or (C) any other similar activity related to such contracts. “Consulting agreement” does not include any agreements entered into with a consultant who is registered under the provisions of chapter 10 of the Connecticut General Statues as of the date such contract is executed in accordance with the provisions of section 4a-81 of the Connecticut General Statutes. _______________________________________ _______________________________________ Consultant’s Name and Title Name of Firm (if applicable) _______________ ________________ Start Date End Date Cost The basic terms of the consulting agreement are: _____________________________________________________________________________________ Description of Services Provided: _________________________________________________________ Is the consultant a former State employee or former public official? □ YES □ NO If Yes: _____________________________ ________________________________ Name of Former State Agency Termination Date of Employment SIGNATURE PAGE TO FOLLOW (Space intentionally left blank) [ ] Original Contract [ ] Amendment # (For Internal Use Only)
Consulting Agreements Representation. Pursuant to section 4a-81 of the Connecticut General Statutes, the person signing this Contract on behalf of the Contractor represents, to their best knowledge and belief and subject to the penalty of false statement as provided in section 53a-157b of the Connecticut General Statutes, that the Contractor has not entered into any consulting agreements in connection with this Contract, except for the agreements listed below or in an attachment to this Contract. "
Consulting Agreements Representation. Pursuant to section 4a-81 of the Connecticut General Statutes, the person signing this Contract on behalf of the Contractor represents, to their best knowledge and belief and subject to the penalty of false statement as provided in section 53a-157b of the Connecticut General Statutes, that the Contractor has not entered into any consulting agreements in connection with this Contract, except for the agreements listed below or in an attachment to this Contract. "Consulting agreement" means any written or oral agreement to retain the services, for a fee, of a consultant for the purposes of (A) providing counsel to a contractor, vendor, consultant or other entity seeking to conduct, or conducting, business with the State, (B) contacting, whether in writing or orally, any executive, judicial, or administrative office of the State, including any department, institution, bureau, board, commission, authority, official or employee for the purpose of solicitation, dispute resolution, introduction, requests for information, or (C) any other similar activity related to such contracts. "Consulting agreement" does not include any agreements entered into with a consultant who is registered under the provisions of chapter 10 of the Connecticut General Statutes as of the date such contract is executed in accordance with the provisions of section 4a-81 of the Connecticut General Statutes. Consultant’s Name and Title Name of Firm (if applicable) Start Date End Date Cost The basic terms of the consulting agreement are: Description of Services Provided: Is the consultant a former State employee or former public official? ⬜ YES ⬜ NO If YES: Name of Former State Agency Termination Date of Employment Schedule C Construction Contracts - Required Contract Provisions
Consulting Agreements Representation. Pursuant to Conn. Gen. Stat. § 4a-81, the person signing this Contract on behalf of the Contractor represents, to their best knowledge and belief and subject to the penalty of false statement as provided in Conn. Gen. Stat. § 53a-157b, that the Contractor has not entered into any consulting agreements in connection with this Contract, except for the agreements listed below. "
Consulting Agreements Representation. See Form 2. Form 2 is attached to the Contract and incorporated herein. SIGNATURE PAGE TO FOLLOW (Space intentionally left blank) [ ] Original Contract [ ] Amendment # (For Internal Use Only)
Consulting Agreements Representation. [If contract value less than $50,000, Check “N/A”
Consulting Agreements Representation. Pursuant to section 4a-81 of the Connecticut General Statutes, the Contractor represents that it has not entered into any consulting agreements in connection with this Contract, except for the agreements listed below. "Consulting agreement" means any written or oral agreement to retain the services, for a fee, of a consultant for the purposes of (A) providing counsel to a contractor, vendor, consultant or other entity seeking to conduct, or conducting, business with the State, (B) contacting, whether in writing or orally, any executive, judicial, or administrative office of the State, including any department, institution, bureau, board, commission, authority, official or employee for the purpose of solicitation, dispute resolution, introduction, requests for information, or (C) any other similar activity related to such contracts. "Consulting agreement" does not include any agreements entered into with a consultant who is registered under the provisions of chapter 10 of the Connecticut General Statutes as of the date such contract is executed in accordance with the provisions of section 4a-81 of the Connecticut General Statutes. Consultant’s Name and Title Name of Firm (if applicable) Start Date End Date Cost The basic terms of the consulting agreement are: Description of Services Provided: Is the consultant a former State employee or former public official? ⬜ YES ⬜ NO If YES: Name of Former State Agency Termination Date of Employment IN WITNESS THEREOF, the parties hereto have caused this Agreement to be executed by their authorized representatives. University of Connecticut [ ] By By: Name: Name: Title: Statutory Authority: C.G.S. Sections 4a-52a, and 10a-151b Date signed: It’s Duly Authorized Date signed: Approved as to form: By: Assistant/Associate Attorney General Date: The undersigned, being the person signing the Contract, swears that the representation in the Consulting Agreements Representation provision in this Contract is true to the best of my knowledge and belief, and is subject to the penalties of false statement. Signature of person signing this Contract Print Name Date: Sworn and subscribed before me on this day of , 20 . Commissioner of the Superior Court or Notary Public My Commission Expires EXHIBITS EXHIBIT A Services EXHIBIT B Service Locations EXHIBIT C Key Personnel EXHIBIT D Compensation EXHIBIT A SERVICES
