Common use of Disallowance Clause in Contracts

Disallowance. If the Contractor claims or receives payment for a service or reimbursement that is later disallowed by the Judicial Council, the Contractor shall promptly refund the disallowed amount upon the Judicial Council's request. At its option, the Judicial Council may offset the amount disallowed from any payment due or that may become due to the Contractor under this Agreement or any other agreement. END OF EXHIBIT with @Contractor Name EXHIBIT H ATTACHMENTS‌ This exhibit includes the following attachment(s): o Attachment 1, Hotel/Motel Transient Occupancy Tax Waiver o Attachment 2, Contractor’s Audio-Visual Equipment Price List o Attachment 3, Contractor’s Catering Price List END OF EXHIBIT EXHIBIT H ATTACHMENT #1‌ STATE OF CALIFORNIA HOTEL/MOTEL TRANSIENT OCCUPANCY TAX WAIVER (EXEMPTION CERTIFICATE FOR STATE AGENCIES)‌ STD. 236 (NEW 9-91) HOTEL/MOTEL OPERATOR: RETAIN THIS WAIVER FOR YOUR FILES TO SUBSTANTIATE YOUR REPORTS. PARTICIPATION BY OPERATORS IS STRICTLY VOLUNTARY Date Executed: HOTEL / MOTEL NAME TO: HOTEL / MOTEL ADDRESS (Number, Street, City, State, ZIP Code) This is to certify that I, the undersigned traveler, am a representative or employee of the State agency indicated below; that the charges for the occupancy at the above establishment on the dates set forth below have been, or will be paid for by the State of California; and that such charges are incurred in the performance of my official duties as a representative or employee of the State of California. OCCUPANCY DATE(S) AMOUNT PAID $ STATE AGENCY NAME JUDICIAL COUNCIL OF CALIFORNIA HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed) I hereby declare under the penalty of perjury that the foregoing statements are true and correct. EXECUTED AT: (City) TRAVELER'S SIGNATURE DATE SIGNED ,CALIFORNIA

Appears in 12 contracts

Samples: Agreement, Agreement, Agreement

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Disallowance. If the Contractor claims or receives payment for a service or reimbursement that is later disallowed by the Judicial Council, the Contractor shall promptly refund the disallowed amount upon the Judicial Council's request. At its option, the Judicial Council may offset the amount disallowed from any payment due or that may become due to the Contractor under this Agreement or any other agreement. END OF EXHIBIT with @Contractor Contractor Name EXHIBIT H ATTACHMENTS‌ This exhibit includes the following attachment(s): o Attachment 1, Hotel/Motel Transient Occupancy Tax Waiver o Attachment 2, Contractor’s Audio-Visual Equipment Price List o Attachment 3, Contractor’s Catering Price List END OF EXHIBIT EXHIBIT H ATTACHMENT #1‌ STATE OF CALIFORNIA HOTEL/MOTEL TRANSIENT OCCUPANCY TAX WAIVER (EXEMPTION CERTIFICATE FOR STATE AGENCIES)‌ STD. 236 (NEW 9-91) HOTEL/MOTEL OPERATOR: RETAIN THIS WAIVER FOR YOUR FILES TO SUBSTANTIATE YOUR REPORTS. PARTICIPATION BY OPERATORS IS STRICTLY VOLUNTARY Date Executed: HOTEL / MOTEL NAME TO: HOTEL / MOTEL ADDRESS (Number, Street, City, State, ZIP Code) This is to certify that I, the undersigned traveler, am a representative or employee of the State agency indicated below; that the charges for the occupancy at the above establishment on the dates set forth below have been, or will be paid for by the State of California; and that such charges are incurred in the performance of my official duties as a representative or employee of the State of California. OCCUPANCY DATE(S) AMOUNT PAID $ STATE AGENCY NAME JUDICIAL COUNCIL OF CALIFORNIA HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed) I hereby declare under the penalty of perjury that the foregoing statements are true and correct. EXECUTED AT: (City) TRAVELER'S SIGNATURE DATE SIGNED ,CALIFORNIA

Appears in 11 contracts

Samples: Agreement, Agreement, Agreement

Disallowance. If the Contractor claims or receives payment for a service or reimbursement that is later disallowed by the Judicial CouncilAOC, the Contractor shall promptly refund the disallowed amount upon the Judicial CouncilAOC's request. At its option, the Judicial Council AOC may offset the amount disallowed from any payment due or that may become due to the Contractor under this Agreement or any other agreement. END OF EXHIBIT Standard Agreement No. @Agreement Number with @Contractor Name EXHIBIT H ATTACHMENTS‌ ATTACHMENTS This exhibit includes the following attachment(s): o Attachment 1, Hotel/Motel Transient Occupancy Tax Waiver o Attachment 2, Contractor’s Audio-Visual Equipment Price List o Attachment 3, Contractor’s Catering Price List END OF EXHIBIT EXHIBIT H ATTACHMENT #1‌ 1 STATE OF CALIFORNIA HOTEL/MOTEL TRANSIENT OCCUPANCY TAX WAIVER (EXEMPTION CERTIFICATE FOR STATE AGENCIES)‌ AGENCIES) STD. 236 (NEW 9-91) HOTEL/MOTEL OPERATOR: RETAIN THIS WAIVER FOR YOUR FILES TO SUBSTANTIATE YOUR REPORTS. PARTICIPATION BY OPERATORS IS STRICTLY VOLUNTARY Date Executed: HOTEL / MOTEL NAME TO: HOTEL / MOTEL ADDRESS (Number, Street, City, State, ZIP Code) This is to certify that I, the undersigned traveler, am a representative or employee of the State agency indicated below; that the charges for the occupancy at the above establishment on the dates set forth below have been, or will be paid for by the State of California; and that such charges are incurred in the performance of my official duties as a representative or employee of the State of California. OCCUPANCY DATE(S) AMOUNT PAID $ STATE AGENCY NAME JUDICIAL COUNCIL OF CALIFORNIA HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed) I hereby declare under the penalty of perjury that the foregoing statements are true and correct. EXECUTED AT: (City) TRAVELER'S SIGNATURE DATE SIGNED ,CALIFORNIA

Appears in 11 contracts

Samples: Agreement, Agreement, Agreement

Disallowance. If the Contractor claims or receives payment for a service or reimbursement that is later disallowed by the Judicial Council, the Contractor shall promptly refund the disallowed amount upon the Judicial CouncilCouncil 's request. At its option, the Judicial Council may offset the amount disallowed from any payment due or that may become due to the Contractor under this Agreement or any other agreement. END OF EXHIBIT with @Contractor Name EXHIBIT H ATTACHMENTS‌ ATTACHMENTS This exhibit is reserved and, therefore, left blank intentionally. This exhibit includes the following attachment(s): o Attachment 1, Hotel/Motel Transient Occupancy Tax Waiver o Attachment 2, Contractor’s Audio-Visual Equipment Price List o Attachment 3, Contractor’s Catering Price List END OF EXHIBIT EXHIBIT H ATTACHMENT #1‌ 1 STATE OF CALIFORNIA HOTEL/MOTEL TRANSIENT OCCUPANCY TAX WAIVER (EXEMPTION CERTIFICATE FOR STATE AGENCIES)‌ AGENCIES) STD. 236 (NEW 9-91) HOTEL/MOTEL OPERATOR: RETAIN THIS WAIVER FOR YOUR FILES TO SUBSTANTIATE YOUR REPORTS. PARTICIPATION BY OPERATORS IS STRICTLY VOLUNTARY Date Executed: HOTEL / MOTEL NAME TO: HOTEL / MOTEL ADDRESS (Number, Street, City, State, ZIP Code) This is to certify that I, the undersigned traveler, am a representative or employee of the State agency indicated below; that the charges for the occupancy at the above establishment on the dates set forth below have been, or will be paid for by the State of California; and that such charges are incurred in the performance of my official duties as a representative or employee of the State of California. OCCUPANCY DATE(S) AMOUNT PAID $ STATE AGENCY NAME JUDICIAL COUNCIL OF CALIFORNIA HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed) I hereby declare under the penalty of perjury that the foregoing statements are true and correct. EXECUTED AT: (City) TRAVELER'S SIGNATURE DATE SIGNED ,CALIFORNIA

Appears in 8 contracts

Samples: Agreement, Agreement, Agreement

Disallowance. If the Contractor claims or receives payment for a service or reimbursement that is later disallowed by the Judicial Council, the Contractor shall promptly refund the disallowed amount upon the Judicial Council's request. At its option, the Judicial Council may offset the amount disallowed from any payment due or that may become due to the Contractor under this Agreement or any other agreement. END OF EXHIBIT with @Contractor Name EXHIBIT H ATTACHMENTS‌ This exhibit includes the following attachment(s): o Attachment 1, Hotel/Motel Transient Occupancy Tax Waiver o Attachment 2, Contractor’s Audio-Visual Equipment Price List o Attachment 3, Contractor’s Catering Price List o Attachment 4, Xxxxx Civil Rights Act and California Fair Employment and Housing Act Certification END OF EXHIBIT EXHIBIT H ATTACHMENT #1‌ STATE OF CALIFORNIA CALIFORNIA‌ HOTEL/MOTEL TRANSIENT OCCUPANCY TAX WAIVER (EXEMPTION CERTIFICATE FOR STATE AGENCIES)‌ AGENCIES)‌‌ STD. 236 (NEW 9-91) HOTEL/MOTEL OPERATOR: RETAIN THIS WAIVER FOR YOUR FILES TO SUBSTANTIATE YOUR REPORTS. PARTICIPATION BY OPERATORS IS STRICTLY VOLUNTARY Date Executed: HOTEL / MOTEL NAME TO: HOTEL / MOTEL ADDRESS (Number, Street, City, State, ZIP Code) This is to certify that I, the undersigned traveler, am a representative or employee of the State agency indicated below; that the charges for the occupancy at the above establishment on the dates set forth below have been, or will be paid for by the State of California; and that such charges are incurred in the performance of my official duties as a representative or employee of the State of California. OCCUPANCY DATE(S) AMOUNT PAID $ STATE AGENCY NAME JUDICIAL COUNCIL OF CALIFORNIA HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed) I hereby declare under the penalty of perjury that the foregoing statements are true and correct. EXECUTED AT: (City) TRAVELER'S SIGNATURE DATE SIGNED ,CALIFORNIACALIFORNIA END OF ATTACHMENT XXXXX CIVIL RIGHTS ACT AND

Appears in 6 contracts

Samples: Agreement, Agreement, Agreement

Disallowance. If the Contractor claims or receives payment for a service or reimbursement that is later disallowed by the Judicial Council, the Contractor shall promptly refund the disallowed amount upon the Judicial CouncilCouncil 's request. At its option, the Judicial Council may offset the amount disallowed from any payment due or that may become due to the Contractor under this Agreement or any other agreement. END OF EXHIBIT with @Contractor Contractor Name EXHIBIT H ATTACHMENTS‌ ATTACHMENTS This exhibit includes the following attachment(s): o Attachment 1, Hotel/Motel Transient Occupancy Tax Waiver o Attachment 2, Contractor’s Audio-Visual Equipment Price List o Attachment 3, Contractor’s Catering Price List END OF EXHIBIT EXHIBIT H ATTACHMENT #1‌ 1 STATE OF CALIFORNIA HOTEL/MOTEL TRANSIENT OCCUPANCY TAX WAIVER (EXEMPTION CERTIFICATE FOR STATE AGENCIES)‌ AGENCIES) STD. 236 (NEW 9-91) HOTEL/MOTEL OPERATOR: RETAIN THIS WAIVER FOR YOUR FILES TO SUBSTANTIATE YOUR REPORTS. PARTICIPATION BY OPERATORS IS STRICTLY VOLUNTARY Date Executed: HOTEL / MOTEL NAME TO: HOTEL / MOTEL ADDRESS (Number, Street, City, State, ZIP Code) This is to certify that I, the undersigned traveler, am a representative or employee of the State agency indicated below; that the charges for the occupancy at the above establishment on the dates set forth below have been, or will be paid for by the State of California; and that such charges are incurred in the performance of my official duties as a representative or employee of the State of California. OCCUPANCY DATE(S) AMOUNT PAID $ STATE AGENCY NAME JUDICIAL COUNCIL OF CALIFORNIA HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed) I hereby declare under the penalty of perjury that the foregoing statements are true and correct. EXECUTED AT: (City) TRAVELER'S SIGNATURE DATE SIGNED ,CALIFORNIA

Appears in 6 contracts

Samples: Agreement, Agreement, Agreement

Disallowance. If the Contractor claims or receives payment for a service or reimbursement that is later disallowed by the Judicial Council, the Contractor shall promptly refund the disallowed amount upon the Judicial Council's request. At its option, the Judicial Council may offset the amount disallowed from any payment due or that may become due to the Contractor under this Agreement or any other agreement. END OF EXHIBIT with @Contractor Name EXHIBIT H ATTACHMENTS‌ This exhibit includes the following attachment(s): o Attachment 1, Hotel/Motel Transient Occupancy Tax Waiver o Attachment 2, Contractor’s Audio-Visual Equipment Price List o Attachment 3, Contractor’s Catering Price List END OF EXHIBIT EXHIBIT H ATTACHMENT #1‌ STATE OF CALIFORNIA CALIFORNIA‌ HOTEL/MOTEL TRANSIENT OCCUPANCY TAX WAIVER (EXEMPTION CERTIFICATE FOR STATE AGENCIES)‌ AGENCIES)‌‌ STD. 236 (NEW 9-91) HOTEL/MOTEL OPERATOR: RETAIN THIS WAIVER FOR YOUR FILES TO SUBSTANTIATE YOUR REPORTS. PARTICIPATION BY OPERATORS IS STRICTLY VOLUNTARY Date Executed: HOTEL / MOTEL NAME TO: HOTEL / MOTEL ADDRESS (Number, Street, City, State, ZIP Code) This is to certify that I, the undersigned traveler, am a representative or employee of the State agency indicated below; that the charges for the occupancy at the above establishment on the dates set forth below have been, or will be paid for by the State of California; and that such charges are incurred in the performance of my official duties as a representative or employee of the State of California. OCCUPANCY DATE(S) AMOUNT PAID $ STATE AGENCY NAME JUDICIAL COUNCIL OF CALIFORNIA HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed) I hereby declare under the penalty of perjury that the foregoing statements are true and correct. EXECUTED AT: (City) TRAVELER'S SIGNATURE DATE SIGNED ,CALIFORNIACALIFORNIA END OF ATTACHMENT XXXXX CIVIL RIGHTS ACT AND

Appears in 6 contracts

Samples: Agreement, Agreement, Agreement

Disallowance. If the Contractor claims or receives payment for a service or reimbursement that is later disallowed by the Judicial CouncilAOC, the Contractor shall promptly refund the disallowed amount upon the Judicial CouncilAOC's request. At its option, the Judicial Council AOC may offset the amount disallowed from any payment due or that may become due to the Contractor under this Agreement or any other agreement. END OF EXHIBIT Standard Agreement No. Agreement Number with @Contractor Contractor Name EXHIBIT H ATTACHMENTS‌ ATTACHMENTS This exhibit includes the following attachment(s): o Attachment 1, Hotel/Motel Transient Occupancy Tax Waiver o Attachment 2, Contractor’s Audio-Visual Equipment Price List o Attachment 3, Contractor’s Catering Price List END OF EXHIBIT EXHIBIT H ATTACHMENT #1‌ 1 STATE OF CALIFORNIA HOTEL/MOTEL TRANSIENT OCCUPANCY TAX WAIVER (EXEMPTION CERTIFICATE FOR STATE AGENCIES)‌ AGENCIES) STD. 236 (NEW 9-91) HOTEL/MOTEL OPERATOR: RETAIN THIS WAIVER FOR YOUR FILES TO SUBSTANTIATE YOUR REPORTS. PARTICIPATION BY OPERATORS IS STRICTLY VOLUNTARY Date Executed: HOTEL / MOTEL NAME TO: HOTEL / MOTEL ADDRESS (Number, Street, City, State, ZIP Code) This is to certify that I, the undersigned traveler, am a representative or employee of the State agency indicated below; that the charges for the occupancy at the above establishment on the dates set forth below have been, or will be paid for by the State of California; and that such charges are incurred in the performance of my official duties as a representative or employee of the State of California. OCCUPANCY DATE(S) AMOUNT PAID $ STATE AGENCY NAME JUDICIAL COUNCIL OF CALIFORNIA HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed) I hereby declare under the penalty of perjury that the foregoing statements are true and correct. EXECUTED AT: (City) TRAVELER'S SIGNATURE DATE SIGNED ,CALIFORNIA

Appears in 6 contracts

Samples: Agreement, Agreement, Agreement

Disallowance. If the Contractor claims or receives payment for a service or reimbursement that is later disallowed by the Judicial Council, the Contractor shall promptly refund the disallowed amount upon the Judicial Council's request. At its option, the Judicial Council may offset the amount disallowed from any payment due or that may become due to the Contractor under this Agreement or any other agreement. END OF EXHIBIT with @Contractor Name EXHIBIT H ATTACHMENTS‌ This exhibit includes the following attachment(s): o Attachment 1, Hotel/Motel Transient Occupancy Tax Waiver o Attachment 2, Contractor’s Audio-Visual Equipment Price List o Attachment 3, Contractor’s Catering Price List END OF EXHIBIT EXHIBIT H ATTACHMENT #1‌ STATE OF CALIFORNIA HOTEL/MOTEL TRANSIENT OCCUPANCY TAX WAIVER (EXEMPTION CERTIFICATE FOR STATE AGENCIES)‌ STD. 236 (NEW 9-91) HOTEL/MOTEL OPERATOR: RETAIN THIS WAIVER FOR YOUR FILES TO SUBSTANTIATE YOUR REPORTS. PARTICIPATION BY OPERATORS IS STRICTLY VOLUNTARY Date Executed: HOTEL / MOTEL NAME TO: HOTEL / MOTEL ADDRESS (Number, Street, City, State, ZIP Code) This is to certify that I, the undersigned traveler, am a representative or employee of the State agency indicated below; that the charges for the occupancy at the above establishment on the dates set forth below have been, or will be paid for by the State of California; and that such charges are incurred in the performance of my official duties as a representative or employee of the State of California. OCCUPANCY DATE(S) AMOUNT PAID $ STATE AGENCY NAME JUDICIAL COUNCIL OF CALIFORNIA HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed) I hereby declare under the penalty of perjury that the foregoing statements are true and correct. EXECUTED AT: (City) TRAVELER'S SIGNATURE DATE SIGNED ,CALIFORNIA

Appears in 6 contracts

Samples: Agreement, Agreement, Agreement

Disallowance. If the Contractor claims or receives payment for a service or reimbursement that is later disallowed by the Judicial Council, the Contractor shall promptly refund the disallowed amount upon the Judicial Council's request. At its option, the Judicial Council may offset the amount disallowed from any payment due or that may become due to the Contractor under this Agreement or any other agreement. END OF EXHIBIT with @Contractor Name EXHIBIT H ATTACHMENTS‌ This exhibit includes the following attachment(s): o Attachment 1, Hotel/Motel Transient Occupancy Tax Waiver o Attachment 2, Contractor’s Audio-Visual Equipment Price List o Attachment 3, Contractor’s Catering Price List END OF EXHIBIT EXHIBIT H ATTACHMENT #1‌ STATE OF CALIFORNIA HOTEL/MOTEL TRANSIENT OCCUPANCY TAX WAIVER (EXEMPTION CERTIFICATE FOR STATE AGENCIES)‌ AGENCIES) STD. 236 (NEW 9-91) HOTEL/MOTEL OPERATOR: RETAIN THIS WAIVER FOR YOUR FILES TO SUBSTANTIATE YOUR REPORTS. PARTICIPATION BY OPERATORS IS STRICTLY VOLUNTARY Date Executed: HOTEL / MOTEL NAME TO: HOTEL / MOTEL ADDRESS (Number, Street, City, State, ZIP Code) This is to certify that I, the undersigned traveler, am a representative or employee of the State agency indicated below; that the charges for the occupancy at the above establishment on the dates set forth below have been, or will be paid for by the State of California; and that such charges are incurred in the performance of my official duties as a representative or employee of the State of California. OCCUPANCY DATE(S) AMOUNT PAID $ STATE AGENCY NAME JUDICIAL COUNCIL OF CALIFORNIA HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed) I hereby declare under the penalty of perjury that the foregoing statements are true and correct. EXECUTED AT: (City) TRAVELER'S SIGNATURE DATE SIGNED ,CALIFORNIA

Appears in 5 contracts

Samples: Agreement, Agreement, Agreement

Disallowance. If the Contractor claims or receives payment for a service or reimbursement that is later disallowed by the Judicial Council, the Contractor shall promptly refund the disallowed amount upon the Judicial Council's request. At its option, the Judicial Council may offset the amount disallowed from any payment due or that may become due to the Contractor under this Agreement or any other agreement. END OF EXHIBIT with @Contractor Name EXHIBIT H ATTACHMENTS‌ This @This exhibit is reserved and, therefore, left blank intentionally. @This exhibit includes the following attachment(s): o Attachment 1@Attachment @1, Hotel/Motel Transient Occupancy Tax Waiver o Attachment 2@Attachment @2, Contractor’s Audio-Visual Equipment Price List o Attachment 3@Attachment @3, Contractor’s Catering Price List END OF EXHIBIT EXHIBIT @EXHIBIT H ATTACHMENT #1‌ @1‌ STATE OF CALIFORNIA HOTEL/MOTEL TRANSIENT OCCUPANCY TAX WAIVER (EXEMPTION CERTIFICATE FOR STATE AGENCIES)‌ STD. 236 (NEW 9-91) HOTEL/MOTEL OPERATOR: RETAIN THIS WAIVER FOR YOUR FILES TO SUBSTANTIATE YOUR REPORTS. PARTICIPATION BY OPERATORS IS STRICTLY VOLUNTARY Date Executed: HOTEL / MOTEL NAME TO: HOTEL / MOTEL ADDRESS (Number, Street, City, State, ZIP Code) This is to certify that I, the undersigned traveler, am a representative or employee of the State agency indicated below; that the charges for the occupancy at the above establishment on the dates set forth below have been, or will be paid for by the State of California; and that such charges are incurred in the performance of my official duties as a representative or employee of the State of California. OCCUPANCY DATE(S) AMOUNT PAID $ STATE AGENCY NAME JUDICIAL COUNCIL OF CALIFORNIA HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed) I hereby declare under the penalty of perjury that the foregoing statements are true and correct. EXECUTED AT: (City) TRAVELER'S SIGNATURE DATE SIGNED ,CALIFORNIA

Appears in 5 contracts

Samples: Agreement, Agreement, Agreement

Disallowance. If the Contractor claims or receives payment for a service or reimbursement that is later disallowed by the Judicial Council, the Contractor shall promptly refund the disallowed amount upon the Judicial CouncilCouncil 's request. At its option, the Judicial Council may offset the amount disallowed from any payment due or that may become due to the Contractor under this Agreement or any other agreement. END OF EXHIBIT with @Contractor Name EXHIBIT H ATTACHMENTS‌ This exhibit includes the following attachment(s): o Attachment 1, Hotel/Motel Transient Occupancy Tax Waiver o Attachment 2, Contractor’s Audio-Visual Equipment Price List o Attachment 3, Contractor’s Catering Price List END OF EXHIBIT EXHIBIT H ATTACHMENT #1‌ STATE OF CALIFORNIA HOTEL/MOTEL TRANSIENT OCCUPANCY TAX WAIVER (EXEMPTION CERTIFICATE FOR STATE AGENCIES)‌ STD. 236 (NEW 9-91) HOTEL/MOTEL OPERATOR: RETAIN THIS WAIVER FOR YOUR FILES TO SUBSTANTIATE YOUR REPORTS. PARTICIPATION BY OPERATORS IS STRICTLY VOLUNTARY Date Executed: HOTEL / MOTEL NAME TO: HOTEL / MOTEL ADDRESS (Number, Street, City, State, ZIP Code) This is to certify that I, the undersigned traveler, am a representative or employee of the State agency indicated below; that the charges for the occupancy at the above establishment on the dates set forth below have been, or will be paid for by the State of California; and that such charges are incurred in the performance of my official duties as a representative or employee of the State of California. OCCUPANCY DATE(S) AMOUNT PAID $ STATE AGENCY NAME JUDICIAL COUNCIL OF CALIFORNIA HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed) I hereby declare under the penalty of perjury that the foregoing statements are true and correct. EXECUTED AT: (City) TRAVELER'S SIGNATURE DATE SIGNED ,CALIFORNIA

Appears in 4 contracts

Samples: Agreement, Agreement, Agreement

Disallowance. If the Contractor claims or receives payment for a service or reimbursement that is later disallowed by the Judicial CouncilAOC, the Contractor shall promptly refund the disallowed amount upon the Judicial CouncilAOC's request. At its option, the Judicial Council AOC may offset the amount disallowed from any payment due or that may become due to the Contractor under this Agreement or any other agreement. END OF EXHIBIT Standard Agreement No. @Agreement Number with @Contractor Name EXHIBIT H ATTACHMENTS‌ This @This exhibit is reserved and, therefore, left blank intentionally. @This exhibit includes the following attachment(s): o Attachment 1@Attachment @1, Hotel/Motel Transient Occupancy Tax Waiver o Attachment 2@Attachment @2, Contractor’s Audio-Visual Equipment Price List o Attachment 3@Attachment @3, Contractor’s Catering Price List END OF EXHIBIT EXHIBIT @EXHIBIT H ATTACHMENT #1‌ @1‌ STATE OF CALIFORNIA HOTEL/MOTEL TRANSIENT OCCUPANCY TAX WAIVER (EXEMPTION CERTIFICATE FOR STATE AGENCIES)‌ STD. 236 (NEW 9-91) HOTEL/MOTEL OPERATOR: RETAIN THIS WAIVER FOR YOUR FILES TO SUBSTANTIATE YOUR REPORTS. PARTICIPATION BY OPERATORS IS STRICTLY VOLUNTARY Date Executed: HOTEL / MOTEL NAME TO: HOTEL / MOTEL ADDRESS (Number, Street, City, State, ZIP Code) This is to certify that I, the undersigned traveler, am a representative or employee of the State agency indicated below; that the charges for the occupancy at the above establishment on the dates set forth below have been, or will be paid for by the State of California; and that such charges are incurred in the performance of my official duties as a representative or employee of the State of California. OCCUPANCY DATE(S) AMOUNT PAID $ STATE AGENCY NAME JUDICIAL COUNCIL OF CALIFORNIA HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed) I hereby declare under the penalty of perjury that the foregoing statements are true and correct. EXECUTED AT: (City) TRAVELER'S SIGNATURE DATE SIGNED ,CALIFORNIA

Appears in 4 contracts

Samples: Agreement, Agreement, Agreement

Disallowance. If the Contractor claims or receives payment for a service or reimbursement that is later disallowed by the Judicial CouncilAOC, the Contractor shall promptly refund the disallowed amount upon the Judicial CouncilAOC's request. At its option, the Judicial Council AOC may offset the amount disallowed from any payment due or that may become due to the Contractor under this Agreement or any other agreement. END OF EXHIBIT Standard Agreement No. @Agreement Number with @Contractor Name EXHIBIT H ATTACHMENTS‌ This @This exhibit is reserved and, therefore, left blank intentionally. @This exhibit includes the following attachment(s): o Attachment 1@Attachment @1, Hotel/Motel Transient Occupancy Tax Waiver o Attachment 2, Contractor’s Audio-Visual Equipment Price List o Attachment 3, Contractor’s Catering Price List END OF EXHIBIT EXHIBIT @EXHIBIT H ATTACHMENT #1‌ @1‌ STATE OF CALIFORNIA HOTEL/MOTEL TRANSIENT OCCUPANCY TAX WAIVER (EXEMPTION CERTIFICATE FOR STATE AGENCIES)‌ STD. 236 (NEW 9-91) HOTEL/MOTEL OPERATOR: RETAIN THIS WAIVER FOR YOUR FILES TO SUBSTANTIATE YOUR REPORTS. PARTICIPATION BY OPERATORS IS STRICTLY VOLUNTARY Date Executed: HOTEL / MOTEL NAME TO: HOTEL / MOTEL ADDRESS (Number, Street, City, State, ZIP Code) This is to certify that I, the undersigned traveler, am a representative or employee of the State agency indicated below; that the charges for the occupancy at the above establishment on the dates set forth below have been, or will be paid for by the State of California; and that such charges are incurred in the performance of my official duties as a representative or employee of the State of California. OCCUPANCY DATE(S) AMOUNT PAID $ STATE AGENCY NAME JUDICIAL COUNCIL OF CALIFORNIA HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed) I hereby declare under the penalty of perjury that the foregoing statements are true and correct. EXECUTED AT: (City) TRAVELER'S SIGNATURE DATE SIGNED ,CALIFORNIA

Appears in 4 contracts

Samples: Agreement, Agreement, Agreement

Disallowance. If the Contractor claims or receives payment for a service or reimbursement that is later disallowed by the Judicial Council, the Contractor shall promptly refund the disallowed amount upon the Judicial Council's request. At its option, the Judicial Council may offset the amount disallowed from any payment due or that may become due to the Contractor under this Agreement or any other agreement. END OF EXHIBIT with @Contractor Name EXHIBIT H ATTACHMENTS‌ ATTACHMENTS This exhibit includes the following attachment(s): o Attachment 1, Hotel/Motel Transient Occupancy Tax Waiver o Attachment 2, Contractor’s Audio-Visual Equipment Price List o Attachment 3, Contractor’s Catering Price List END OF EXHIBIT EXHIBIT H ATTACHMENT #1‌ 1 STATE OF CALIFORNIA HOTEL/MOTEL TRANSIENT OCCUPANCY TAX WAIVER (EXEMPTION CERTIFICATE FOR STATE AGENCIES)‌ AGENCIES) STD. 236 (NEW 9-91) HOTEL/MOTEL OPERATOR: RETAIN THIS WAIVER FOR YOUR FILES TO SUBSTANTIATE YOUR REPORTS. PARTICIPATION BY OPERATORS IS STRICTLY VOLUNTARY Date Executed: HOTEL / MOTEL NAME TO: HOTEL / MOTEL ADDRESS (Number, Street, City, State, ZIP Code) This is to certify that I, the undersigned traveler, am a representative or employee of the State agency indicated below; that the charges for the occupancy at the above establishment on the dates set forth below have been, or will be paid for by the State of California; and that such charges are incurred in the performance of my official duties as a representative or employee of the State of California. OCCUPANCY DATE(S) AMOUNT PAID $ STATE AGENCY NAME JUDICIAL COUNCIL OF CALIFORNIA HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed) I hereby declare under the penalty of perjury that the foregoing statements are true and correct. EXECUTED AT: (City) TRAVELER'S SIGNATURE DATE SIGNED ,CALIFORNIA

Appears in 4 contracts

Samples: Agreement, Agreement, Agreement

Disallowance. If the Contractor claims or receives payment for a service or reimbursement that is later disallowed by the Judicial Council, the Contractor shall promptly refund the disallowed amount upon the Judicial Council's request. At its option, the Judicial Council may offset the amount disallowed from any payment due or that may become due to the Contractor under this Agreement or any other agreement. END OF EXHIBIT with @Contractor Contractor Name EXHIBIT H ATTACHMENTS‌ This exhibit includes the following attachment(s): o Attachment 1, Hotel/Motel Transient Occupancy Tax Waiver o Attachment 2, Contractor’s Audio-Visual Equipment Price List o Attachment 3, Contractor’s Catering Price List END OF EXHIBIT EXHIBIT H ATTACHMENT #1‌ STATE OF CALIFORNIA HOTEL/MOTEL TRANSIENT OCCUPANCY TAX WAIVER (EXEMPTION CERTIFICATE FOR STATE AGENCIES)‌ STD. 236 (NEW 9-91) HOTEL/MOTEL OPERATOR: RETAIN THIS WAIVER FOR YOUR FILES TO SUBSTANTIATE YOUR REPORTS. PARTICIPATION BY OPERATORS IS STRICTLY VOLUNTARY Date Executed: HOTEL / MOTEL NAME TO: HOTEL / MOTEL ADDRESS (Number, Street, City, State, ZIP Code) This is to certify that I, the undersigned traveler, am a representative or employee of the State agency indicated below; that the charges for the occupancy at the above establishment on the dates set forth below have been, or will be paid for by the State of California; and that such charges are incurred in the performance of my official duties as a representative or employee of the State of California. OCCUPANCY DATE(S) AMOUNT PAID $ STATE AGENCY NAME JUDICIAL COUNCIL OF CALIFORNIA HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed) I hereby declare under the penalty of perjury that the foregoing statements are true and correct. EXECUTED AT: (City) TRAVELER'S SIGNATURE DATE SIGNED ,CALIFORNIA

Appears in 4 contracts

Samples: Agreement, Agreement, Agreement

Disallowance. If the Contractor claims or receives payment for a service or reimbursement that is later disallowed by the Judicial Council, the Contractor shall promptly refund the disallowed amount upon the Judicial Council's request. At its option, the Judicial Council may offset the amount disallowed from any payment due or that may become due to the Contractor under this Agreement or any other agreement. END OF EXHIBIT with @Contractor Name EXHIBIT H ATTACHMENTS‌ This @This exhibit is reserved and, therefore, left blank intentionally. @This exhibit includes the following attachment(s): o Attachment 1@Attachment @1, Hotel/Motel Transient Occupancy Tax Waiver o Attachment 2@Attachment @2, Contractor’s Audio-Visual Equipment Price List o Attachment 3@Attachment @3, Contractor’s Catering Price List o @Attachment @4, Xxxxx Civil Rights Act and California Fair Employment and Housing Act Certification END OF EXHIBIT EXHIBIT @EXHIBIT H ATTACHMENT #1‌ @1‌ STATE OF CALIFORNIA HOTEL/MOTEL TRANSIENT OCCUPANCY TAX WAIVER (EXEMPTION CERTIFICATE FOR STATE AGENCIES)‌ AGENCIES) STD. 236 (NEW 9-91) HOTEL/MOTEL OPERATOR: RETAIN THIS WAIVER FOR YOUR FILES TO SUBSTANTIATE YOUR REPORTS. PARTICIPATION BY OPERATORS IS STRICTLY VOLUNTARY Date Executed: HOTEL / MOTEL NAME TO: HOTEL / MOTEL ADDRESS (Number, Street, City, State, ZIP Code) This is to certify that I, the undersigned traveler, am a representative or employee of the State agency indicated below; that the charges for the occupancy at the above establishment on the dates set forth below have been, or will be paid for by the State of California; and that such charges are incurred in the performance of my official duties as a representative or employee of the State of California. OCCUPANCY DATE(S) AMOUNT PAID $ STATE AGENCY NAME JUDICIAL COUNCIL OF CALIFORNIA HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed) I hereby declare under the penalty of perjury that the foregoing statements are true and correct. EXECUTED AT: (City) TRAVELER'S SIGNATURE DATE SIGNED ,CALIFORNIACALIFORNIA END OF ATTACHMENT @EXHIBIT H ATTACHMENT #@4 XXXXX CIVIL RIGHTS ACT AND

Appears in 4 contracts

Samples: Agreement, Agreement, Agreement

Disallowance. If the Contractor claims or receives payment for a service or reimbursement that is later disallowed by the Judicial Council, the Contractor shall promptly refund the disallowed amount upon the Judicial Council's request. At its option, the Judicial Council may offset the amount disallowed from any payment due or that may become due to the Contractor under this Agreement or any other agreement. END OF EXHIBIT with @Contractor Contractor Name EXHIBIT H ATTACHMENTS‌ This exhibit includes the following attachment(s): o Attachment 1, Hotel/Motel Transient Occupancy Tax Waiver o Attachment 2, Contractor’s Audio-Visual Equipment Price List o Attachment 3, Contractor’s Catering Price List END OF EXHIBIT EXHIBIT H ATTACHMENT #1‌ STATE OF CALIFORNIA HOTEL/MOTEL TRANSIENT OCCUPANCY TAX WAIVER (EXEMPTION CERTIFICATE FOR STATE AGENCIES)‌ STD. 236 (NEW 9-91) HOTEL/MOTEL OPERATOR: RETAIN THIS WAIVER FOR YOUR FILES TO SUBSTANTIATE YOUR REPORTS. PARTICIPATION BY OPERATORS IS STRICTLY VOLUNTARY Date Executed: HOTEL / MOTEL NAME TO: HOTEL / MOTEL ADDRESS (Number, Street, City, State, ZIP Code) This is to certify that I, the undersigned traveler, am a representative or employee of the State agency indicated below; that the charges for the occupancy at the above establishment on the dates set forth below have been, or will be paid for by the State of California; and that such charges are incurred in the performance of my official duties as a representative or employee of the State of California. OCCUPANCY DATE(S) AMOUNT PAID $ STATE AGENCY NAME JUDICIAL COUNCIL OF CALIFORNIA HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed) I hereby declare under the penalty of perjury that the foregoing statements are true and correct. EXECUTED AT: (City) TRAVELER'S SIGNATURE DATE SIGNED ,CALIFORNIA

Appears in 3 contracts

Samples: Agreement, Agreement, Agreement

Disallowance. If the Contractor claims or receives payment for a service or reimbursement that is later disallowed by the Judicial Council, the Contractor shall promptly refund the disallowed amount upon the Judicial Council's request. At its option, the Judicial Council may offset the amount disallowed from any payment due or that may become due to the Contractor under this Agreement or any other agreement. END OF EXHIBIT with @Contractor Name EXHIBIT H ATTACHMENTS‌ This @This exhibit is reserved and, therefore, left blank intentionally. @This exhibit includes the following attachment(s): o Attachment 1@Attachment @1, Hotel/Motel Transient Occupancy Tax Waiver o Attachment 2@Attachment @2, Contractor’s Audio-Visual Equipment Price List o Attachment 3@Attachment @3, Contractor’s Catering Price List o @Attachment @4, Xxxxx Civil Rights Act and California Fair Employment and Housing Act Certification END OF EXHIBIT EXHIBIT H ATTACHMENT #1‌ STATE OF CALIFORNIA CALIFORNIA‌ HOTEL/MOTEL TRANSIENT OCCUPANCY TAX WAIVER (EXEMPTION CERTIFICATE FOR STATE AGENCIES)‌ AGENCIES)‌‌ STD. 236 (NEW 9-91) HOTEL/MOTEL OPERATOR: RETAIN THIS WAIVER FOR YOUR FILES TO SUBSTANTIATE YOUR REPORTS. PARTICIPATION BY OPERATORS IS STRICTLY VOLUNTARY Date Executed: HOTEL / MOTEL NAME TO: HOTEL / MOTEL ADDRESS (Number, Street, City, State, ZIP Code) This is to certify that I, the undersigned traveler, am a representative or employee of the State agency indicated below; that the charges for the occupancy at the above establishment on the dates set forth below have been, or will be paid for by the State of California; and that such charges are incurred in the performance of my official duties as a representative or employee of the State of California. OCCUPANCY DATE(S) AMOUNT PAID $ STATE AGENCY NAME JUDICIAL COUNCIL OF CALIFORNIA HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed) I hereby declare under the penalty of perjury that the foregoing statements are true and correct. EXECUTED AT: (City) TRAVELER'S SIGNATURE DATE SIGNED ,CALIFORNIACALIFORNIA END OF ATTACHMENT XXXXX CIVIL RIGHTS ACT AND

Appears in 3 contracts

Samples: Agreement, Agreement, Agreement

Disallowance. If the Contractor claims or receives payment for a service or reimbursement that is later disallowed by the Judicial CouncilAOC, the Contractor shall promptly refund the disallowed amount upon the Judicial CouncilAOC's request. At its option, the Judicial Council AOC may offset the amount disallowed from any payment due or that may become due to the Contractor under this Agreement or any other agreement. END OF EXHIBIT Standard Agreement No. @Agreement Number with @Contractor Name EXHIBIT H ATTACHMENTS‌ ATTACHMENTS This exhibit includes the following attachment(s): o Attachment 1, Hotel/Motel Transient Occupancy Tax Waiver o Attachment 2, Contractor’s Audio-Visual Equipment Price List o Attachment 3, Contractor’s Catering Price List END OF EXHIBIT EXHIBIT @EXHIBIT H ATTACHMENT #1‌ @1 STATE OF CALIFORNIA HOTEL/MOTEL TRANSIENT OCCUPANCY TAX WAIVER (EXEMPTION CERTIFICATE FOR STATE AGENCIES)‌ AGENCIES) STD. 236 (NEW 9-91) HOTEL/MOTEL OPERATOR: RETAIN THIS WAIVER FOR YOUR FILES TO SUBSTANTIATE YOUR REPORTS. PARTICIPATION BY OPERATORS IS STRICTLY VOLUNTARY Date Executed: HOTEL / MOTEL NAME TO: HOTEL / MOTEL ADDRESS (Number, Street, City, State, ZIP Code) This is to certify that I, the undersigned traveler, am a representative or employee of the State agency indicated below; that the charges for the occupancy at the above establishment on the dates set forth below have been, or will be paid for by the State of California; and that such charges are incurred in the performance of my official duties as a representative or employee of the State of California. OCCUPANCY DATE(S) AMOUNT PAID $ STATE AGENCY NAME JUDICIAL COUNCIL OF CALIFORNIA HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed) I hereby declare under the penalty of perjury that the foregoing statements are true and correct. EXECUTED AT: (City) TRAVELER'S SIGNATURE DATE SIGNED ,CALIFORNIA

Appears in 3 contracts

Samples: Agreement, Agreement, Agreement

Disallowance. If the Contractor claims or receives payment for a service or reimbursement that is later disallowed by the Judicial Council, the Contractor shall promptly refund the disallowed amount upon the Judicial Council's request. At its option, the Judicial Council may offset the amount disallowed from any payment due or that may become due to the Contractor under this Agreement or any other agreement. END OF EXHIBIT with @Contractor Name EXHIBIT H ATTACHMENTS‌ This exhibit includes the following attachment(s): o Attachment 1, Hotel/Motel Transient Occupancy Tax Waiver o Attachment 2, Contractor’s Audio-Visual Equipment Price List o Attachment 3, Contractor’s Catering Price List END OF EXHIBIT EXHIBIT @EXHIBIT H ATTACHMENT #1‌ @1‌ STATE OF CALIFORNIA HOTEL/MOTEL TRANSIENT OCCUPANCY TAX WAIVER (EXEMPTION CERTIFICATE FOR STATE AGENCIES)‌ STD. 236 (NEW 9-91) HOTEL/MOTEL OPERATOR: RETAIN THIS WAIVER FOR YOUR FILES TO SUBSTANTIATE YOUR REPORTS. PARTICIPATION BY OPERATORS IS STRICTLY VOLUNTARY Date Executed: HOTEL / MOTEL NAME TO: HOTEL / MOTEL ADDRESS (Number, Street, City, State, ZIP Code) This is to certify that I, the undersigned traveler, am a representative or employee of the State agency indicated below; that the charges for the occupancy at the above establishment on the dates set forth below have been, or will be paid for by the State of California; and that such charges are incurred in the performance of my official duties as a representative or employee of the State of California. OCCUPANCY DATE(S) AMOUNT PAID $ STATE AGENCY NAME JUDICIAL COUNCIL OF CALIFORNIA HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed) I hereby declare under the penalty of perjury that the foregoing statements are true and correct. EXECUTED AT: (City) TRAVELER'S SIGNATURE DATE SIGNED ,CALIFORNIA

Appears in 3 contracts

Samples: Agreement, Agreement, Agreement

Disallowance. If the Contractor claims or receives payment for a service or reimbursement that is later disallowed by the Judicial Council, the Contractor shall promptly refund the disallowed amount upon the Judicial Council's request. At its option, the Judicial Council may offset the amount disallowed from any payment due or that may become due to the Contractor under this Agreement or any other agreement. END OF EXHIBIT with @Contractor Name EXHIBIT H ATTACHMENTS‌ This exhibit includes the following attachment(s): o Attachment 1, Hotel/Motel Transient Occupancy Tax Waiver o Attachment 2, Contractor’s Audio-Visual Equipment Price List o Attachment 3, Contractor’s Catering Price List END OF EXHIBIT EXHIBIT H ATTACHMENT #1‌ STATE OF CALIFORNIA HOTEL/MOTEL TRANSIENT OCCUPANCY TAX WAIVER (EXEMPTION CERTIFICATE FOR STATE AGENCIES)‌ AGENCIES) STD. 236 (NEW 9-91) HOTEL/MOTEL OPERATOR: RETAIN THIS WAIVER FOR YOUR FILES TO SUBSTANTIATE YOUR REPORTS. PARTICIPATION BY OPERATORS IS STRICTLY VOLUNTARY Date Executed: HOTEL / MOTEL NAME TO: HOTEL / MOTEL ADDRESS (Number, Street, City, State, ZIP Code) This is to certify that I, the undersigned traveler, am a representative or employee of the State agency indicated below; that the charges for the occupancy at the above establishment on the dates set forth below have been, or will be paid for by the State of California; and that such charges are incurred in the performance of my official duties as a representative or employee of the State of California. OCCUPANCY DATE(S) AMOUNT PAID $ STATE AGENCY NAME JUDICIAL COUNCIL OF CALIFORNIA HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed) I hereby declare under the penalty of perjury that the foregoing statements are true and correct. EXECUTED AT: (City) TRAVELER'S SIGNATURE DATE SIGNED ,CALIFORNIA

Appears in 3 contracts

Samples: Agreement, Agreement, Agreement

Disallowance. If the Contractor claims or receives payment for a service or reimbursement that is later disallowed by the Judicial Council, the Contractor shall promptly refund the disallowed amount upon the Judicial Council's request. At its option, the Judicial Council may offset the amount disallowed from any payment due or that may become due to the Contractor under this Agreement or any other agreement. END OF EXHIBIT with @Contractor Contractor Name EXHIBIT H ATTACHMENTS‌ ATTACHMENTS This exhibit includes the following attachment(s): o Attachment 1, Hotel/Motel Transient Occupancy Tax Waiver o Attachment 2, Contractor’s Audio-Visual Equipment Price List o Attachment 3, Contractor’s Catering Price List END OF EXHIBIT EXHIBIT H ATTACHMENT #1‌ 1 STATE OF CALIFORNIA HOTEL/MOTEL TRANSIENT OCCUPANCY TAX WAIVER (EXEMPTION CERTIFICATE FOR STATE AGENCIES)‌ AGENCIES) STD. 236 (NEW 9-91) HOTEL/MOTEL OPERATOR: RETAIN THIS WAIVER FOR YOUR FILES TO SUBSTANTIATE YOUR REPORTS. PARTICIPATION BY OPERATORS IS STRICTLY VOLUNTARY Date Executed: HOTEL / MOTEL NAME TO: HOTEL / MOTEL ADDRESS (Number, Street, City, State, ZIP Code) This is to certify that I, the undersigned traveler, am a representative or employee of the State agency indicated below; that the charges for the occupancy at the above establishment on the dates set forth below have been, or will be paid for by the State of California; and that such charges are incurred in the performance of my official duties as a representative or employee of the State of California. OCCUPANCY DATE(S) AMOUNT PAID $ STATE AGENCY NAME JUDICIAL COUNCIL OF CALIFORNIA HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed) I hereby declare under the penalty of perjury that the foregoing statements are true and correct. EXECUTED AT: (City) TRAVELER'S SIGNATURE DATE SIGNED ,CALIFORNIA

Appears in 3 contracts

Samples: Agreement, Agreement, Agreement

Disallowance. If the Contractor claims or receives payment for a service or reimbursement that is later disallowed by the Judicial CouncilAOC, the Contractor shall promptly refund the disallowed amount upon the Judicial CouncilAOC's request. At its option, the Judicial Council AOC may offset the amount disallowed from any payment due or that may become due to the Contractor under this Agreement or any other agreement. END OF EXHIBIT Standard Agreement No. Agreement Number with @Contractor Contractor Name EXHIBIT H ATTACHMENTS‌ This exhibit includes the following attachment(s): o Attachment 1, Hotel/Motel Transient Occupancy Tax Waiver o Attachment 2, Contractor’s Audio-Visual Equipment Price List o Attachment 3, Contractor’s Catering Price List END OF EXHIBIT EXHIBIT @EXHIBIT H ATTACHMENT #1‌ @1‌ STATE OF CALIFORNIA HOTEL/MOTEL TRANSIENT OCCUPANCY TAX WAIVER (EXEMPTION CERTIFICATE FOR STATE AGENCIES)‌ STD. 236 (NEW 9-91) HOTEL/MOTEL OPERATOR: RETAIN THIS WAIVER FOR YOUR FILES TO SUBSTANTIATE YOUR REPORTS. PARTICIPATION BY OPERATORS IS STRICTLY VOLUNTARY Date Executed: HOTEL / MOTEL NAME TO: HOTEL / MOTEL ADDRESS (Number, Street, City, State, ZIP Code) This is to certify that I, the undersigned traveler, am a representative or employee of the State agency indicated below; that the charges for the occupancy at the above establishment on the dates set forth below have been, or will be paid for by the State of California; and that such charges are incurred in the performance of my official duties as a representative or employee of the State of California. OCCUPANCY DATE(S) AMOUNT PAID $ STATE AGENCY NAME JUDICIAL COUNCIL OF CALIFORNIA HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed) I hereby declare under the penalty of perjury that the foregoing statements are true and correct. EXECUTED AT: (City) TRAVELER'S SIGNATURE DATE SIGNED ,CALIFORNIA

Appears in 3 contracts

Samples: Services Agreement, Services Agreement, Services Agreement

Disallowance. If the Contractor claims or receives payment for a service or reimbursement that is later disallowed by the Judicial CouncilAOC, the Contractor shall promptly refund the disallowed amount upon the Judicial CouncilAOC's request. At its option, the Judicial Council AOC may offset the amount disallowed from any payment due or that may become due to the Contractor under this Agreement or any other agreement. END OF EXHIBIT Attachment 2 RFP Name: Pri xxxx Assignment Orientations RFP Nu mber: ASU DC 013 Judicial Council of California, Administrative Office of the Courts Standard Agreement No. @Agreement Number with @Contractor Name EXHIBIT H ATTACHMENTS‌ This exhibit includes the following attachment(s): o Attachment 1, Hotel/Motel Transient Occupancy Tax Waiver o Attachment 2, Contractor’s Audio-Visual Equipment Price List o Attachment 3, Contractor’s Catering Price List END OF EXHIBIT EXHIBIT H ATTACHMENT #1‌ STATE OF CALIFORNIA HOTEL/MOTEL TRANSIENT OCCUPANCY TAX WAIVER (EXEMPTION CERTIFICATE FOR STATE AGENCIES)‌ STD. 236 (NEW 9-91) HOTEL/MOTEL OPERATOR: RETAIN THIS WAIVER FOR YOUR FILES TO SUBSTANTIATE YOUR REPORTS. PARTICIPATION BY OPERATORS IS STRICTLY VOLUNTARY Date Executed: HOTEL / MOTEL NAME TO: HOTEL / MOTEL ADDRESS (Number, Street, City, State, ZIP Code) This is to certify that I, the undersigned traveler, am a representative or employee of the State agency indicated below; that the charges for the occupancy at the above establishment on the dates set forth below have been, or will be paid for by the State of California; and that such charges are incurred in the performance of my official duties as a representative or employee of the State of California. OCCUPANCY DATE(S) AMOUNT PAID $ STATE AGENCY NAME JUDICIAL COUNCIL OF CALIFORNIA HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed) I hereby declare under the penalty of perjury that the foregoing statements are true and correct. EXECUTED AT: (City) TRAVELER'S SIGNATURE DATE SIGNED ,CALIFORNIA

Appears in 3 contracts

Samples: Agreement, Agreement, Agreement

Disallowance. If the Contractor claims or receives payment for a service or reimbursement that is later disallowed by the Judicial Council, the Contractor shall promptly refund the disallowed amount upon the Judicial CouncilCouncil 's request. At its option, the Judicial Council may offset the amount disallowed from any payment due or that may become due to the Contractor under this Agreement or any other agreement. END OF EXHIBIT with @Contractor Name EXHIBIT H ATTACHMENTS‌ ATTACHMENTS This exhibit includes the following attachment(s): o Attachment 1, Hotel/Motel Transient Occupancy Tax Waiver o Attachment 2, Contractor’s Audio-Visual Equipment Price List o Attachment 3, Contractor’s Catering Price List END OF EXHIBIT EXHIBIT H ATTACHMENT #1‌ 1 STATE OF CALIFORNIA HOTEL/MOTEL TRANSIENT OCCUPANCY TAX WAIVER (EXEMPTION CERTIFICATE FOR STATE AGENCIES)‌ AGENCIES) STD. 236 (NEW 9-91) HOTEL/MOTEL OPERATOR: RETAIN THIS WAIVER FOR YOUR FILES TO SUBSTANTIATE YOUR REPORTS. PARTICIPATION BY OPERATORS IS STRICTLY VOLUNTARY Date Executed: HOTEL / MOTEL NAME TO: HOTEL / MOTEL ADDRESS (Number, Street, City, State, ZIP Code) This is to certify that I, the undersigned traveler, am a representative or employee of the State agency indicated below; that the charges for the occupancy at the above establishment on the dates set forth below have been, or will be paid for by the State of California; and that such charges are incurred in the performance of my official duties as a representative or employee of the State of California. OCCUPANCY DATE(S) AMOUNT PAID $ STATE AGENCY NAME JUDICIAL COUNCIL OF CALIFORNIA HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed) I hereby declare under the penalty of perjury that the foregoing statements are true and correct. EXECUTED AT: (City) TRAVELER'S SIGNATURE DATE SIGNED ,CALIFORNIA

Appears in 2 contracts

Samples: Agreement, Agreement

Disallowance. If the Contractor claims or receives payment for a service or reimbursement that is later disallowed by the Judicial CouncilAOC, the Contractor shall promptly refund the disallowed amount upon the Judicial CouncilAOC's request. At its option, the Judicial Council AOC may offset the amount disallowed from any payment due or that may become due to the Contractor under this Agreement or any other agreement. END OF EXHIBIT Standard Agreement No. @Agreement Number with @Contractor Name EXHIBIT H ATTACHMENTS‌ ATTACHMENTS This exhibit includes the following attachment(s): o Attachment 1, Hotel/Motel Transient Occupancy Tax Waiver o Attachment 2, Contractor’s Audio-Visual Equipment Price List o Attachment 3, Contractor’s Catering Price List END OF EXHIBIT EXHIBIT H ATTACHMENT #1‌ 1 STATE OF CALIFORNIA HOTEL/MOTEL TRANSIENT OCCUPANCY TAX WAIVER (EXEMPTION CERTIFICATE FOR STATE AGENCIES)‌ AGENCIES) STD. 236 (NEW 9-91) HOTEL/MOTEL OPERATOR: RETAIN THIS WAIVER FOR YOUR FILES TO SUBSTANTIATE YOUR REPORTS. PARTICIPATION BY OPERATORS IS STRICTLY VOLUNTARY Date Executed: HOTEL / MOTEL NAME TO: HOTEL / MOTEL ADDRESS (Number, Street, City, State, ZIP Code) This is to certify that I, the undersigned traveler, am a representative or employee of the State agency indicated below; that the charges for the occupancy at the above establishment on the dates set forth below have been, or will be paid for by the State of California; and that such charges are incurred in the performance of my official duties as a representative or employee of the State of California. OCCUPANCY DATE(S) AMOUNT PAID $ STATE AGENCY NAME JUDICIAL COUNCIL OF CALIFORNIA HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed) I hereby declare under the penalty of perjury that the foregoing statements are true and correct. EXECUTED AT: (City) TRAVELER'S SIGNATURE DATE SIGNED ,CALIFORNIA

Appears in 2 contracts

Samples: Agreement, Agreement

Disallowance. If the Contractor claims or receives payment for a service or reimbursement that is later disallowed by the Judicial CouncilAOC, the Contractor shall promptly refund the disallowed amount upon the Judicial CouncilAOC's request. At its option, the Judicial Council AOC may offset the amount disallowed from any payment due or that may become due to the Contractor under this Agreement or any other agreement. END OF EXHIBIT Attachment 2 RFP Name: ( insert RFPName) RFP Nu mber: ( INSERT RFP NUMBER) Judicial Council of California, Administrative Office of the Courts Standard Agreement No. @Agreement Number with @Contractor Name EXHIBIT H ATTACHMENTS‌ ATTACHMENTS This exhibit includes the following attachment(s): o Attachment 1@Attachment @1, Hotel/Motel Transient Occupancy Tax Waiver o Attachment 2, Contractor’s Audio-Visual Equipment Price List o Attachment 3, Contractor’s Catering Price List END OF EXHIBIT EXHIBIT @EXHIBIT H ATTACHMENT #1‌ @1 STATE OF CALIFORNIA HOTEL/MOTEL TRANSIENT OCCUPANCY TAX WAIVER (EXEMPTION CERTIFICATE FOR STATE AGENCIES)‌ AGENCIES) STD. 236 (NEW 9-91) HOTEL/MOTEL OPERATOR: RETAIN THIS WAIVER FOR YOUR FILES TO SUBSTANTIATE YOUR REPORTS. PARTICIPATION BY OPERATORS IS STRICTLY VOLUNTARY Date Executed: HOTEL / MOTEL NAME TO: HOTEL / MOTEL ADDRESS (Number, Street, City, State, ZIP Code) This is to certify that I, the undersigned traveler, am a representative or employee of the State agency indicated below; that the charges for the occupancy at the above establishment on the dates set forth below have been, or will be paid for by the State of California; and that such charges are incurred in the performance of my official duties as a representative or employee of the State of California. OCCUPANCY DATE(S) AMOUNT PAID $ STATE AGENCY NAME JUDICIAL COUNCIL OF CALIFORNIA HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed) I hereby declare under the penalty of perjury that the foregoing statements are true and correct. EXECUTED AT: (City) TRAVELER'S SIGNATURE DATE SIGNED ,CALIFORNIA

Appears in 2 contracts

Samples: Agreement, Agreement

Disallowance. If the Contractor claims or receives payment for a service or reimbursement that is later disallowed by the Judicial Council, the Contractor shall promptly refund the disallowed amount upon the Judicial Council's request. At its option, the Judicial Council may offset the amount disallowed from any payment due or that may become due to the Contractor under this Agreement or any other agreement. END OF EXHIBIT with @Contractor Name EXHIBIT H ATTACHMENTS‌ ATTACHMENTS This exhibit includes the following attachment(s): o Attachment 1, Hotel/Motel Transient Occupancy Tax Waiver o Attachment 2, Contractor’s Audio-Visual Equipment Price List o Attachment 3, Contractor’s Catering Price List END OF EXHIBIT EXHIBIT H ATTACHMENT #1‌ 1 STATE OF CALIFORNIA HOTEL/MOTEL TRANSIENT OCCUPANCY TAX WAIVER (EXEMPTION CERTIFICATE FOR STATE AGENCIES)‌ AGENCIES) STD. 236 (NEW 9-91) HOTEL/MOTEL OPERATOR: RETAIN THIS WAIVER FOR YOUR FILES TO SUBSTANTIATE YOUR REPORTS. PARTICIPATION BY OPERATORS IS STRICTLY VOLUNTARY Date Executed: HOTEL / MOTEL NAME TO: HOTEL / MOTEL ADDRESS (Number, Street, City, State, ZIP Code) This is to certify that I, the undersigned traveler, am a representative or employee of the State agency indicated below; that the charges for the occupancy at the above establishment on the dates set forth below have been, or will be paid for by the State of California; and that such charges are incurred in the performance of my official duties as a representative or employee of the State of California. OCCUPANCY DATE(S) AMOUNT PAID $ STATE AGENCY NAME JUDICIAL COUNCIL OF CALIFORNIA HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed) I hereby declare under the penalty of perjury that the foregoing statements are true and correct. EXECUTED AT: (City) TRAVELER'S SIGNATURE DATE SIGNED ,CALIFORNIA

Appears in 2 contracts

Samples: Agreement, Agreement

Disallowance. If the Contractor claims or receives payment for a service or reimbursement that is later disallowed by the Judicial Council, the Contractor shall promptly refund the disallowed amount upon the Judicial Council's request. At its option, the Judicial Council may offset the amount disallowed from any payment due or that may become due to the Contractor under this Agreement or any other agreement. END OF EXHIBIT with @Contractor Contractor Name EXHIBIT H ATTACHMENTS‌ This exhibit includes the following attachment(s): ATTACHMENTS o Attachment 1, Hotel/Motel Transient Occupancy Tax Waiver o Attachment 2, Contractor’s Audio-Visual Equipment Price List o Attachment 3, Contractor’s Catering Price List END OF EXHIBIT EXHIBIT H ATTACHMENT #1‌ 1 STATE OF CALIFORNIA HOTEL/MOTEL TRANSIENT OCCUPANCY TAX WAIVER (EXEMPTION CERTIFICATE FOR STATE AGENCIES)‌ AGENCIES) STD. 236 (NEW 9-91) HOTEL/MOTEL OPERATOR: RETAIN THIS WAIVER FOR YOUR FILES TO SUBSTANTIATE YOUR REPORTS. PARTICIPATION BY OPERATORS IS STRICTLY VOLUNTARY Date Executed: HOTEL / MOTEL NAME TO: HOTEL / MOTEL ADDRESS (Number, Street, City, State, ZIP Code) This is to certify that I, the undersigned traveler, am a representative or employee of the State agency indicated below; that the charges for the occupancy at the above establishment on the dates set forth below have been, or will be paid for by the State of California; and that such charges are incurred in the performance of my official duties as a representative or employee of the State of California. OCCUPANCY DATE(S) AMOUNT PAID $ STATE AGENCY NAME JUDICIAL COUNCIL OF CALIFORNIA HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed) I hereby declare under the penalty of perjury that the foregoing statements are true and correct. EXECUTED AT: (City) TRAVELER'S SIGNATURE DATE SIGNED ,CALIFORNIA

Appears in 2 contracts

Samples: Agreement, Agreement

Disallowance. If the Contractor claims or receives payment for a service or reimbursement that is later disallowed by the Judicial Council, the Contractor shall promptly refund the disallowed amount upon the Judicial Council's request. At its option, the Judicial Council may offset the amount disallowed from any payment due or that may become due to the Contractor under this Agreement or any other agreement. END OF EXHIBIT with @Contractor Contractor Name EXHIBIT H ATTACHMENTS‌ This exhibit includes the following attachment(s): o Attachment 1, Hotel/Motel Transient Occupancy Tax Waiver o Attachment 2, Contractor’s Audio-Visual Equipment Price List o Attachment 3, Contractor’s Catering Price List END OF EXHIBIT EXHIBIT H ATTACHMENT #1‌ STATE OF CALIFORNIA CALIFORNIA‌ HOTEL/MOTEL TRANSIENT OCCUPANCY TAX WAIVER (EXEMPTION CERTIFICATE FOR STATE AGENCIES)‌ AGENCIES)‌‌ STD. 236 (NEW 9-91) HOTEL/MOTEL OPERATOR: RETAIN THIS WAIVER FOR YOUR FILES TO SUBSTANTIATE YOUR REPORTS. PARTICIPATION BY OPERATORS IS STRICTLY VOLUNTARY Date Executed: HOTEL / MOTEL NAME TO: HOTEL / MOTEL ADDRESS (Number, Street, City, State, ZIP Code) This is to certify that I, the undersigned traveler, am a representative or employee of the State agency indicated below; that the charges for the occupancy at the above establishment on the dates set forth below have been, or will be paid for by the State of California; and that such charges are incurred in the performance of my official duties as a representative or employee of the State of California. OCCUPANCY DATE(S) AMOUNT PAID $ STATE AGENCY NAME JUDICIAL COUNCIL OF CALIFORNIA HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed) I hereby declare under the penalty of perjury that the foregoing statements are true and correct. EXECUTED AT: (City) TRAVELER'S SIGNATURE DATE SIGNED ,CALIFORNIACALIFORNIA END OF ATTACHMENT XXXXX CIVIL RIGHTS ACT AND

Appears in 2 contracts

Samples: Agreement, Agreement

Disallowance. If the Contractor claims or receives payment for a service or reimbursement that is later disallowed by the Judicial CouncilAOC, the Contractor shall promptly refund the disallowed amount upon the Judicial CouncilAOC's request. At its option, the Judicial Council AOC may offset the amount disallowed from any payment due or that may become due to the Contractor under this Agreement or any other agreement. END OF EXHIBIT Standard Agreement No. Agreement Number with @Contractor Contractor Name EXHIBIT H ATTACHMENTS‌ ATTACHMENTS This exhibit includes the following attachment(s): o Attachment 1@Attachment @1, Hotel/Motel Transient Occupancy Tax Waiver o Attachment 2, Contractor’s Audio-Visual Equipment Price List o Attachment 3, Contractor’s Catering Price List END OF EXHIBIT EXHIBIT H ATTACHMENT #1‌ 1 STATE OF CALIFORNIA HOTEL/MOTEL TRANSIENT OCCUPANCY TAX WAIVER (EXEMPTION CERTIFICATE FOR STATE AGENCIES)‌ AGENCIES) STD. 236 (NEW 9-91) HOTEL/MOTEL OPERATOR: RETAIN THIS WAIVER FOR YOUR FILES TO SUBSTANTIATE YOUR REPORTS. PARTICIPATION BY OPERATORS IS STRICTLY VOLUNTARY Date Executed: HOTEL / MOTEL NAME TO: HOTEL / MOTEL ADDRESS (Number, Street, City, State, ZIP Code) This is to certify that I, the undersigned traveler, am a representative or employee of the State agency indicated below; that the charges for the occupancy at the above establishment on the dates set forth below have been, or will be paid for by the State of California; and that such charges are incurred in the performance of my official duties as a representative or employee of the State of California. OCCUPANCY DATE(S) AMOUNT PAID $ STATE AGENCY NAME JUDICIAL COUNCIL OF CALIFORNIA HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed) I hereby declare under the penalty of perjury that the foregoing statements are true and correct. EXECUTED AT: (City) TRAVELER'S SIGNATURE DATE SIGNED ,CALIFORNIA

Appears in 2 contracts

Samples: Agreement, Agreement

Disallowance. SAMPLE If the Contractor claims or receives payment for a service or reimbursement that is later disallowed by the Judicial Council, the Contractor shall promptly refund the disallowed amount upon the Judicial Council's request. At its option, the Judicial Council may offset the amount disallowed from any payment due or that may become due to the Contractor under this Agreement or any other agreement. END OF EXHIBIT with @Contractor Name EXHIBIT H ATTACHMENTS‌ This ATTACHMENTS @This exhibit is reserved and, therefore, left blank intentionally. @This exhibit includes the following attachment(s): o Attachment 1@Attachment @1, Hotel/Motel Transient Occupancy Tax Waiver o Attachment 2@Attachment @2, Contractor’s Audio-Visual Equipment Price List o Attachment 3@Attachment @3, Contractor’s Catering Price List SAMPLE o @Attachment @4, Xxxxx Civil Rights Act and California Fair Employment and Housing Act Certification END OF EXHIBIT EXHIBIT @EXHIBIT H ATTACHMENT #1‌ @1 STATE OF CALIFORNIA HOTEL/MOTEL TRANSIENT OCCUPANCY TAX WAIVER (EXEMPTION CERTIFICATE FOR STATE AGENCIES)‌ AGENCIES) STD. 236 (NEW 9-91) HOTEL/MOTEL OPERATOR: RETAIN THIS WAIVER FOR YOUR FILES TO SUBSTANTIATE YOUR REPORTS. PARTICIPATION BY OPERATORS IS STRICTLY VOLUNTARY Date Executed: HOTEL / MOTEL NAME TO: _ HOTEL / MOTEL ADDRESS (Number, Street, City, State, ZIP Code) SAMPLE This is to certify that I, the undersigned traveler, am a representative or employee of the State agency indicated below; that the charges for the occupancy at the above establishment on the dates set forth below have been, or will be paid for by the State of California; and that such charges are incurred in the performance of my official duties as a representative or employee of the State of California. OCCUPANCY DATE(S) AMOUNT PAID $ STATE AGENCY NAME JUDICIAL COUNCIL OF CALIFORNIA HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed) I hereby declare under the penalty of perjury that the foregoing statements are true and correct. EXECUTED AT: (City) TRAVELER'S SIGNATURE DATE SIGNED ,CALIFORNIACALIFORNIA END OF ATTACHMENT @EXHIBIT H ATTACHMENT #@4 XXXXX CIVIL RIGHTS ACT AND

Appears in 2 contracts

Samples: Agreement, Agreement

Disallowance. If the Contractor claims or receives payment for a service or reimbursement that is later disallowed by the Judicial CouncilAOC, the Contractor shall promptly refund the disallowed amount upon the Judicial CouncilAOC's request. At its option, the Judicial Council AOC may offset the amount disallowed from any payment due or that may become due to the Contractor under this Agreement or any other agreement. END OF EXHIBIT Attachment 2 RFP Name: Judicial Council 2013 Room Blocks RFP Nu mber : ASU TD 027 Judicial Council of California, Administrative Office of the Courts Standard Agreement No. @Agreement Number with @Contractor Name EXHIBIT H ATTACHMENTS‌ ATTACHMENTS This exhibit includes the following attachment(s): o Attachment 1@Attachment @1, Hotel/Motel Transient Occupancy Tax Waiver o Attachment 2, Contractor’s Audio-Visual Equipment Price List o Attachment 3, Contractor’s Catering Price List END OF EXHIBIT EXHIBIT @EXHIBIT H ATTACHMENT #1‌ @1 STATE OF CALIFORNIA HOTEL/MOTEL TRANSIENT OCCUPANCY TAX WAIVER (EXEMPTION CERTIFICATE FOR STATE AGENCIES)‌ AGENCIES) STD. 236 (NEW 9-91) HOTEL/MOTEL OPERATOR: RETAIN THIS WAIVER FOR YOUR FILES TO SUBSTANTIATE YOUR REPORTS. PARTICIPATION BY OPERATORS IS STRICTLY VOLUNTARY Date Executed: HOTEL / MOTEL NAME TO: HOTEL / MOTEL ADDRESS (Number, Street, City, State, ZIP Code) This is to certify that I, the undersigned traveler, am a representative or employee of the State agency indicated below; that the charges for the occupancy at the above establishment on the dates set forth below have been, or will be paid for by the State of California; and that such charges are incurred in the performance of my official duties as a representative or employee of the State of California. OCCUPANCY DATE(S) AMOUNT PAID $ STATE AGENCY NAME JUDICIAL COUNCIL OF CALIFORNIA HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed) I hereby declare under the penalty of perjury that the foregoing statements are true and correct. EXECUTED AT: (City) TRAVELER'S SIGNATURE DATE SIGNED ,CALIFORNIA

Appears in 1 contract

Samples: Agreement

Disallowance. If the Contractor claims or receives payment for a service or reimbursement that is later disallowed by the Judicial Council, the Contractor shall promptly refund the disallowed amount upon the Judicial Council's request. At its option, the Judicial Council may offset the amount disallowed from any payment due or that may become due to the Contractor under this Agreement or any other agreement. END OF EXHIBIT with @Contractor Name EXHIBIT H ATTACHMENTS‌ This exhibit includes the following attachment(s): o Attachment 1, Hotel/Motel Transient Occupancy Tax Waiver o Attachment 2, Contractor’s Audio-Visual Equipment Price List o Attachment 3, Contractor’s Catering Price List END OF EXHIBIT EXHIBIT H ATTACHMENT #1‌ STATE OF CALIFORNIA HOTEL/MOTEL TRANSIENT OCCUPANCY TAX WAIVER (EXEMPTION CERTIFICATE FOR STATE AGENCIES)‌ AGENCIES) STD. 236 (NEW 9-91) HOTEL/MOTEL OPERATOR: RETAIN THIS WAIVER FOR YOUR FILES TO SUBSTANTIATE YOUR REPORTS. PARTICIPATION BY OPERATORS IS STRICTLY VOLUNTARY Date Executed: HOTEL / MOTEL NAME TO: HOTEL / MOTEL ADDRESS (Number, Street, City, State, ZIP Code) This is to certify that I, the undersigned traveler, am a representative or employee of the State agency indicated below; that the charges for the occupancy at the above establishment on the dates set forth below have been, or will be paid for by the State of California; and that such charges are incurred in the performance of my official duties as a representative or employee of the State of California. OCCUPANCY DATE(S) AMOUNT PAID $ STATE AGENCY NAME JUDICIAL COUNCIL OF CALIFORNIA HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed) I hereby declare under the penalty of perjury that the foregoing statements are true and correct. EXECUTED AT: (City) TRAVELER'S SIGNATURE DATE SIGNED ,CALIFORNIACALIFORNIA END OF ATTACHMENT

Appears in 1 contract

Samples: Agreement

Disallowance. If the Contractor claims or receives payment for a service or reimbursement that is later disallowed by the Judicial Council, the Contractor shall promptly refund the disallowed amount upon the Judicial Council's request. At its option, the Judicial Council may offset the amount disallowed from any payment due or that may become due to the Contractor under this Agreement or any other agreement. END OF EXHIBIT with @Contractor Name EXHIBIT H ATTACHMENTS‌ This exhibit includes the following attachment(s): o Attachment 1@1, Hotel/Motel Transient Occupancy Tax Waiver o Attachment 2@2, Contractor’s Audio-Visual Equipment Price List o Attachment 3@3, Contractor’s Catering Price List o Attachment @4, Xxxxx Civil Rights Act and California Fair Employment and Housing Act Certification END OF EXHIBIT EXHIBIT H ATTACHMENT #1‌ STATE OF CALIFORNIA CALIFORNIA‌ HOTEL/MOTEL TRANSIENT OCCUPANCY TAX WAIVER (EXEMPTION CERTIFICATE FOR STATE AGENCIES)‌ AGENCIES)‌‌ STD. 236 (NEW 9-91) HOTEL/MOTEL OPERATOR: RETAIN THIS WAIVER FOR YOUR FILES TO SUBSTANTIATE YOUR REPORTS. PARTICIPATION BY OPERATORS IS STRICTLY VOLUNTARY Date Executed: HOTEL / MOTEL NAME TO: HOTEL / MOTEL ADDRESS (Number, Street, City, State, ZIP Code) This is to certify that I, the undersigned traveler, am a representative or employee of the State agency indicated below; that the charges for the occupancy at the above establishment on the dates set forth below have been, or will be paid for by the State of California; and that such charges are incurred in the performance of my official duties as a representative or employee of the State of California. OCCUPANCY DATE(S) AMOUNT PAID $ STATE AGENCY NAME JUDICIAL COUNCIL OF CALIFORNIA HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed) I hereby declare under the penalty of perjury that the foregoing statements are true and correct. EXECUTED AT: (City) TRAVELER'S SIGNATURE DATE SIGNED ,CALIFORNIACALIFORNIA END OF ATTACHMENT XXXXX CIVIL RIGHTS ACT AND

Appears in 1 contract

Samples: Agreement

Disallowance. If the Contractor claims or receives payment for a service or reimbursement that is later disallowed by the Judicial CouncilAOC, the Contractor shall promptly refund the disallowed amount upon the Judicial CouncilAOC's request. At its option, the Judicial Council AOC may offset the amount disallowed from any payment due or that may become due to the Contractor under this Agreement or any other agreement. END OF EXHIBIT Attachment 2 RFP Name: B.E. Xxxxxx Judicial Colleg e of California RFP Nu mber: CRS TD 033 Judicial Council of California, Administrative Office of the Courts Standard Agreement No. @Agreement Number with @Contractor Name EXHIBIT H ATTACHMENTS‌ This @This exhibit is reserved and, therefore, left blank intentionally. @This exhibit includes the following attachment(s): o Attachment 1@Attachment @1, Hotel/Motel Transient Occupancy Tax Waiver o Attachment 2@Attachment @2, Contractor’s Audio-Visual Equipment Price List o Attachment 3@Attachment @3, Contractor’s Catering Price List END OF EXHIBIT EXHIBIT @EXHIBIT H ATTACHMENT #1‌ @1‌ STATE OF CALIFORNIA HOTEL/MOTEL TRANSIENT OCCUPANCY TAX WAIVER (EXEMPTION CERTIFICATE FOR STATE AGENCIES)‌ STD. 236 (NEW 9-91) HOTEL/MOTEL OPERATOR: RETAIN THIS WAIVER FOR YOUR FILES TO SUBSTANTIATE YOUR REPORTS. PARTICIPATION BY OPERATORS IS STRICTLY VOLUNTARY Date Executed: HOTEL / MOTEL NAME TO: HOTEL / MOTEL ADDRESS (Number, Street, City, State, ZIP Code) This is to certify that I, the undersigned traveler, am a representative or employee of the State agency indicated below; that the charges for the occupancy at the above establishment on the dates set forth below have been, or will be paid for by the State of California; and that such charges are incurred in the performance of my official duties as a representative or employee of the State of California. OCCUPANCY DATE(S) AMOUNT PAID $ STATE AGENCY NAME JUDICIAL COUNCIL OF CALIFORNIA HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed) I hereby declare under the penalty of perjury that the foregoing statements are true and correct. EXECUTED AT: (City) TRAVELER'S SIGNATURE DATE SIGNED ,CALIFORNIA

Appears in 1 contract

Samples: Agreement

Disallowance. If the Contractor claims or receives payment for a service or reimbursement that is later disallowed by the Judicial CouncilAOC, the Contractor shall promptly refund the disallowed amount upon the Judicial CouncilAOC's request. At its option, the Judicial Council AOC may offset the amount disallowed from any payment due or that may become due to the Contractor under this Agreement or any other agreement. END OF EXHIBIT Attachment 2 RFP Name: TCPJ AC and CEAC / COCE Statew ide Business Meetings RFP Nu mber: CRS TD 034 Judicial Council of California, Administrative Office of the Courts Standard Agreement No. @Agreement Number with @Contractor Name EXHIBIT H ATTACHMENTS‌ ATTACHMENTS This exhibit includes the following attachment(s): o Attachment 1, Hotel/Motel Transient Occupancy Tax Waiver o Attachment 2, Contractor’s Audio-Visual Equipment Price List o Attachment 3, Contractor’s Catering Price List END OF EXHIBIT EXHIBIT @EXHIBIT H ATTACHMENT #1‌ @1 STATE OF CALIFORNIA HOTEL/MOTEL TRANSIENT OCCUPANCY TAX WAIVER (EXEMPTION CERTIFICATE FOR STATE AGENCIES)‌ AGENCIES) STD. 236 (NEW 9-91) HOTEL/MOTEL OPERATOR: RETAIN THIS WAIVER FOR YOUR FILES TO SUBSTANTIATE YOUR REPORTS. PARTICIPATION BY OPERATORS IS STRICTLY VOLUNTARY Date Executed: HOTEL / MOTEL NAME TO: HOTEL / MOTEL ADDRESS (Number, Street, City, State, ZIP Code) This is to certify that I, the undersigned traveler, am a representative or employee of the State agency indicated below; that the charges for the occupancy at the above establishment on the dates set forth below have been, or will be paid for by the State of California; and that such charges are incurred in the performance of my official duties as a representative or employee of the State of California. OCCUPANCY DATE(S) AMOUNT PAID $ STATE AGENCY NAME JUDICIAL COUNCIL OF CALIFORNIA HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed) I hereby declare under the penalty of perjury that the foregoing statements are true and correct. EXECUTED AT: (City) TRAVELER'S SIGNATURE DATE SIGNED ,CALIFORNIA

Appears in 1 contract

Samples: Agreement

Disallowance. If the Contractor claims or receives payment for a service or reimbursement that is later disallowed by the Judicial Council, the Contractor shall promptly refund the disallowed amount upon the Judicial Council's request. At its option, the Judicial Council may offset the amount disallowed from any payment due or that may become due to the Contractor under this Agreement or any other agreement. END OF EXHIBIT with @Contractor Name EXHIBIT H ATTACHMENTS‌ This exhibit includes the following attachment(s): o Attachment 1@Attachment @1, Hotel/Motel Transient Occupancy Tax Waiver o Attachment 2, Contractor’s Audio-Visual Equipment Price List o Attachment 3, Contractor’s Catering Price List END OF EXHIBIT EXHIBIT H ATTACHMENT #1‌ STATE OF CALIFORNIA HOTEL/MOTEL TRANSIENT OCCUPANCY TAX WAIVER (EXEMPTION CERTIFICATE FOR STATE AGENCIES)‌ STD. 236 (NEW 9-91) HOTEL/MOTEL OPERATOR: RETAIN THIS WAIVER FOR YOUR FILES TO SUBSTANTIATE YOUR REPORTS. PARTICIPATION BY OPERATORS IS STRICTLY VOLUNTARY Date Executed: HOTEL / MOTEL NAME TO: HOTEL / MOTEL ADDRESS (Number, Street, City, State, ZIP Code) This is to certify that I, the undersigned traveler, am a representative or employee of the State agency indicated below; that the charges for the occupancy at the above establishment on the dates set forth below have been, or will be paid for by the State of California; and that such charges are incurred in the performance of my official duties as a representative or employee of the State of California. OCCUPANCY DATE(S) AMOUNT PAID $ STATE AGENCY NAME JUDICIAL COUNCIL OF CALIFORNIA HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed) I hereby declare under the penalty of perjury that the foregoing statements are true and correct. EXECUTED AT: (City) TRAVELER'S SIGNATURE DATE SIGNED ,CALIFORNIA

Appears in 1 contract

Samples: Agreement

Disallowance. If the Contractor claims or receives payment for a service or reimbursement that is later disallowed by the Judicial Council, the Contractor shall promptly refund the disallowed amount upon the Judicial Council's request. At its option, the Judicial Council may offset the amount disallowed from any payment due or that may become due to the Contractor under this Agreement or any other agreement. END OF EXHIBIT with @Contractor Name EXHIBIT H ATTACHMENTS‌ This exhibit includes the following attachment(s): o Attachment 1, Hotel/Motel Transient Occupancy Tax Waiver o Attachment 2, Contractor’s Audio-Visual Equipment Price List o Attachment 3, Contractor’s Catering Price List o Attachment 4, Xxxxx Civil Rights Act and California Fair Employment and Housing Act Certification END OF EXHIBIT EXHIBIT H ATTACHMENT #1‌ STATE OF CALIFORNIA HOTEL/MOTEL TRANSIENT OCCUPANCY TAX WAIVER (EXEMPTION CERTIFICATE FOR STATE AGENCIES)‌ STD. 236 (NEW 9-91) HOTEL/MOTEL OPERATOR: RETAIN THIS WAIVER FOR YOUR FILES TO SUBSTANTIATE YOUR REPORTS. PARTICIPATION BY OPERATORS IS STRICTLY VOLUNTARY Date Executed: HOTEL / MOTEL NAME TO: HOTEL / MOTEL ADDRESS (Number, Street, City, State, ZIP Code) This is to certify that I, the undersigned traveler, am a representative or employee of the State agency indicated below; that the charges for the occupancy at the above establishment on the dates set forth below have been, or will be paid for by the State of California; and that such charges are incurred in the performance of my official duties as a representative or employee of the State of California. OCCUPANCY DATE(S) AMOUNT PAID $ STATE AGENCY NAME JUDICIAL COUNCIL OF CALIFORNIA HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed) I hereby declare under the penalty of perjury that the foregoing statements are true and correct. EXECUTED AT: (City) TRAVELER'S SIGNATURE DATE SIGNED ,CALIFORNIACALIFORNIA END OF ATTACHMENT EXHIBIT H ATTACHMENT #4 XXXXX CIVIL RIGHTS ACT AND

Appears in 1 contract

Samples: Agreement

Disallowance. If the Contractor claims or receives payment for a service or reimbursement that is later disallowed by the Judicial CouncilAOC, the Contractor shall promptly refund the disallowed amount upon the Judicial CouncilAOC's request. At its option, the Judicial Council AOC may offset the amount disallowed from any payment due or that may become due to the Contractor under this Agreement or any other agreement. END OF EXHIBIT Standard Agreement No. CRS EG 79 with @Contractor Name EXHIBIT H ATTACHMENTS‌ This exhibit includes the following attachment(s): o Attachment 1@Attachment @1, Hotel/Motel Transient Occupancy Tax Waiver o Attachment 2@Attachment @2, Contractor’s Audio-Visual Equipment Price List o Attachment 3, Contractor’s Catering Price List END OF EXHIBIT EXHIBIT @EXHIBIT H ATTACHMENT #1‌ @1‌ STATE OF CALIFORNIA HOTEL/MOTEL TRANSIENT OCCUPANCY TAX WAIVER (EXEMPTION CERTIFICATE FOR STATE AGENCIES)‌ STD. 236 (NEW 9-91) HOTEL/MOTEL OPERATOR: RETAIN THIS WAIVER FOR YOUR FILES TO SUBSTANTIATE YOUR REPORTS. PARTICIPATION BY OPERATORS IS STRICTLY VOLUNTARY Date Executed: HOTEL / MOTEL NAME TO: HOTEL / MOTEL ADDRESS (Number, Street, City, State, ZIP Code) This is to certify that I, the undersigned traveler, am a representative or employee of the State agency indicated below; that the charges for the occupancy at the above establishment on the dates set forth below have been, or will be paid for by the State of California; and that such charges are incurred in the performance of my official duties as a representative or employee of the State of California. OCCUPANCY DATE(S) AMOUNT PAID $ STATE AGENCY NAME JUDICIAL COUNCIL OF CALIFORNIA HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed) I hereby declare under the penalty of perjury that the foregoing statements are true and correct. EXECUTED AT: (City) TRAVELER'S SIGNATURE DATE SIGNED ,CALIFORNIA

Appears in 1 contract

Samples: Agreement

Disallowance. If the Contractor claims or receives payment for a service or reimbursement that is later disallowed by the Judicial Council, the Contractor shall promptly refund the disallowed amount upon the Judicial CouncilCouncil 's request. At its option, the Judicial Council may offset the amount disallowed from any payment due or that may become due to the Contractor under this Agreement or any other agreement. END OF EXHIBIT Attachment 2 RFP Title: B.E. Xxxxxx Judicial College of California RFP Number: CRS SP 119 Judicial Council of California Standard Agreement No. @Agreement Number with @Contractor Name EXHIBIT H ATTACHMENTS‌ ATTACHMENTS This exhibit includes the following attachment(s): o Attachment 1, Hotel/Motel Transient Occupancy Tax Waiver o Attachment 2, Contractor’s Audio-Visual Equipment Price List o Attachment 3, Contractor’s Catering Price List END OF EXHIBIT EXHIBIT H ATTACHMENT #1‌ 1 STATE OF CALIFORNIA HOTEL/MOTEL TRANSIENT OCCUPANCY TAX WAIVER (EXEMPTION CERTIFICATE FOR STATE AGENCIES)‌ AGENCIES) STD. 236 (NEW 9-91) HOTEL/MOTEL OPERATOR: RETAIN THIS WAIVER FOR YOUR FILES TO SUBSTANTIATE YOUR REPORTS. PARTICIPATION BY OPERATORS IS STRICTLY VOLUNTARY Date Executed: HOTEL / MOTEL NAME TO: HOTEL / MOTEL ADDRESS (Number, Street, City, State, ZIP Code) This is to certify that I, the undersigned traveler, am a representative or employee of the State agency indicated below; that the charges for the occupancy at the above establishment on the dates set forth below have been, or will be paid for by the State of California; and that such charges are incurred in the performance of my official duties as a representative or employee of the State of California. OCCUPANCY DATE(S) AMOUNT PAID $ STATE AGENCY NAME JUDICIAL COUNCIL OF CALIFORNIA HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed) I hereby declare under the penalty of perjury that the foregoing statements are true and correct. EXECUTED AT: (City) TRAVELER'S SIGNATURE DATE SIGNED ,CALIFORNIA

Appears in 1 contract

Samples: Agreement

Disallowance. If the Contractor claims or receives payment for a service or reimbursement that is later disallowed by the Judicial Council, the Contractor shall promptly refund the disallowed amount upon the Judicial Council's request. At its option, the Judicial Council may offset the amount disallowed from any payment due or that may become due to the Contractor under this Agreement or any other agreement. END OF EXHIBIT with @Contractor Name EXHIBIT H ATTACHMENTS‌ This exhibit includes the following attachment(s): o Attachment 1, Hotel/Motel Transient Occupancy Tax Waiver o Attachment 24, Contractor’s Audio-Visual Equipment Price List o Attachment 3, Contractor’s Catering Price List Xxxxx Civil Rights Act and California Fair Employment and Housing Act Certification END OF EXHIBIT EXHIBIT H ATTACHMENT #1‌ STATE OF CALIFORNIA CALIFORNIA‌ HOTEL/MOTEL TRANSIENT OCCUPANCY TAX WAIVER (EXEMPTION CERTIFICATE FOR STATE AGENCIES)‌ AGENCIES)‌‌ STD. 236 (NEW 9-91) HOTEL/MOTEL OPERATOR: RETAIN THIS WAIVER FOR YOUR FILES TO SUBSTANTIATE YOUR REPORTS. PARTICIPATION BY OPERATORS IS STRICTLY VOLUNTARY Date Executed: HOTEL / MOTEL NAME TO: HOTEL / MOTEL ADDRESS (Number, Street, City, State, ZIP Code) This is to certify that I, the undersigned traveler, am a representative or employee of the State agency indicated below; that the charges for the occupancy at the above establishment on the dates set forth below have been, or will be paid for by the State of California; and that such charges are incurred in the performance of my official duties as a representative or employee of the State of California. OCCUPANCY DATE(S) AMOUNT PAID $ STATE AGENCY NAME JUDICIAL COUNCIL OF CALIFORNIA HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed) I hereby declare under the penalty of perjury that the foregoing statements are true and correct. EXECUTED AT: (City) TRAVELER'S SIGNATURE DATE SIGNED ,CALIFORNIACALIFORNIA END OF ATTACHMENT XXXXX CIVIL RIGHTS ACT AND

Appears in 1 contract

Samples: Agreement

Disallowance. If the Contractor claims or receives payment for a service or reimbursement that is later disallowed by the Judicial Council, the Contractor shall promptly refund the disallowed amount upon the Judicial Council's request. At its option, the Judicial Council may offset the amount disallowed from any payment due or that may become due to the Contractor under this Agreement or any other agreement. END OF EXHIBIT with @Contractor Name EXHIBIT H ATTACHMENTS‌ This exhibit is reserved and, therefore, left blank intentionally. This exhibit includes the following attachment(s): o Attachment 1, Hotel/Motel Transient Occupancy Tax Waiver o Attachment 2, Contractor’s Audio-Visual Equipment Price List o Attachment 3, Contractor’s Catering Price List END OF EXHIBIT EXHIBIT H ATTACHMENT #1‌ STATE OF CALIFORNIA HOTEL/MOTEL TRANSIENT OCCUPANCY TAX WAIVER (EXEMPTION CERTIFICATE FOR STATE AGENCIES)‌ STD. 236 (NEW 9-91) HOTEL/MOTEL OPERATOR: RETAIN THIS WAIVER FOR YOUR FILES TO SUBSTANTIATE YOUR REPORTS. PARTICIPATION BY OPERATORS IS STRICTLY VOLUNTARY Date Executed: HOTEL / MOTEL NAME TO: HOTEL / MOTEL ADDRESS (Number, Street, City, State, ZIP Code) This is to certify that I, the undersigned traveler, am a representative or employee of the State agency indicated below; that the charges for the occupancy at the above establishment on the dates set forth below have been, or will be paid for by the State of California; and that such charges are incurred in the performance of my official duties as a representative or employee of the State of California. OCCUPANCY DATE(S) AMOUNT PAID $ STATE AGENCY NAME JUDICIAL COUNCIL OF CALIFORNIA HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed) I hereby declare under the penalty of perjury that the foregoing statements are true and correct. EXECUTED AT: (City) TRAVELER'S SIGNATURE DATE SIGNED ,CALIFORNIA

Appears in 1 contract

Samples: Agreement

Disallowance. If the Contractor claims or receives payment for a service or reimbursement that is later disallowed by the Judicial CouncilAOC, the Contractor shall promptly refund the disallowed amount upon the Judicial CouncilAOC's request. At its option, the Judicial Council AOC may offset the amount disallowed from any payment due or that may become due to the Contractor under this Agreement or any other agreement. END OF EXHIBIT Attachment 2 RFP Name: Supervising Judges Institute RFP Number: ASU TD 029 Judicial Council of California, Administrative Office of the Courts Standard Agreement No. @Agreement Number with @Contractor Name EXHIBIT H ATTACHMENTS‌ ATTACHMENTS This exhibit includes the following attachment(s): o Attachment 1, Hotel/Motel Transient Occupancy Tax Waiver o Attachment 2, Contractor’s Audio-Visual Equipment Price List o Attachment 3, Contractor’s Catering Price List END OF EXHIBIT EXHIBIT @EXHIBIT H ATTACHMENT #1‌ @1 STATE OF CALIFORNIA HOTEL/MOTEL TRANSIENT OCCUPANCY TAX WAIVER (EXEMPTION CERTIFICATE FOR STATE AGENCIES)‌ AGENCIES) STD. 236 (NEW 9-91) HOTEL/MOTEL OPERATOR: RETAIN THIS WAIVER FOR YOUR FILES TO SUBSTANTIATE YOUR REPORTS. PARTICIPATION BY OPERATORS IS STRICTLY VOLUNTARY Date Executed: HOTEL / MOTEL NAME TO: HOTEL / MOTEL ADDRESS (Number, Street, City, State, ZIP Code) This is to certify that I, the undersigned traveler, am a representative or employee of the State agency indicated below; that the charges for the occupancy at the above establishment on the dates set forth below have been, or will be paid for by the State of California; and that such charges are incurred in the performance of my official duties as a representative or employee of the State of California. OCCUPANCY DATE(S) AMOUNT PAID $ STATE AGENCY NAME JUDICIAL COUNCIL OF CALIFORNIA HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed) I hereby declare under the penalty of perjury that the foregoing statements are true and correct. EXECUTED AT: (City) TRAVELER'S SIGNATURE DATE SIGNED ,CALIFORNIA

Appears in 1 contract

Samples: Services Agreement

Disallowance. If the Contractor claims or receives payment for a service or reimbursement that is later disallowed by the Judicial CouncilAOC, the Contractor shall promptly refund the disallowed amount upon the Judicial CouncilAOC's request. At its option, the Judicial Council AOC may offset the amount disallowed from any payment due or that may become due to the Contractor under this Agreement or any other agreement. END OF EXHIBIT Standard Agreement No. @Agreement Number with @Contractor Name EXHIBIT H ATTACHMENTS‌ This exhibit includes the following attachment(s): o Attachment 1, Hotel/Motel Transient Occupancy Tax Waiver o Attachment 2, Contractor’s Audio-Visual Equipment Price List o Attachment 3, Contractor’s Catering Price List END OF EXHIBIT EXHIBIT H ATTACHMENT #1‌ STATE OF CALIFORNIA HOTEL/MOTEL TRANSIENT OCCUPANCY TAX WAIVER (EXEMPTION CERTIFICATE FOR STATE AGENCIES)‌ STD. 236 (NEW 9-91) HOTEL/MOTEL OPERATOR: RETAIN THIS WAIVER FOR YOUR FILES TO SUBSTANTIATE YOUR REPORTS. PARTICIPATION BY OPERATORS IS STRICTLY VOLUNTARY Date Executed: HOTEL / MOTEL NAME TO: HOTEL / MOTEL ADDRESS (Number, Street, City, State, ZIP Code) This is to certify that I, the undersigned traveler, am a representative or employee of the State agency indicated below; that the charges for the occupancy at the above establishment on the dates set forth below have been, or will be paid for by the State of California; and that such charges are incurred in the performance of my official duties as a representative or employee of the State of California. OCCUPANCY DATE(S) AMOUNT PAID $ STATE AGENCY NAME JUDICIAL COUNCIL OF CALIFORNIA HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed) I hereby declare under the penalty of perjury that the foregoing statements are true and correct. EXECUTED AT: (City) TRAVELER'S SIGNATURE DATE SIGNED ,CALIFORNIA

Appears in 1 contract

Samples: Agreement

Disallowance. If the Contractor claims or receives payment for a service or reimbursement that is later disallowed by the Judicial CouncilAOC, the Contractor shall promptly refund the disallowed amount upon the Judicial CouncilAOC's request. At its option, the Judicial Council AOC may offset the amount disallowed from any payment due or that may become due to the Contractor under this Agreement or any other agreement. END OF EXHIBIT Attachment 2 RFP Na me : Appellate J udicial Attor neys I nstitute Confere nce RFP Nu mber: ASU EG- 00 2 - SS Judicial Council of California, Administrative Office of the Courts Standard Agreement No. @Agreement Number with @Contractor Name EXHIBIT H ATTACHMENTS‌ This @This exhibit is reserved and, therefore, left blank intentionally. @This exhibit includes the following attachment(s): o Attachment 1@Attachment @1, Hotel/Motel Transient Occupancy Tax Waiver o Attachment 2@Attachment @2, Contractor’s Audio-Visual Equipment Price List o Attachment 3@Attachment @3, Contractor’s Catering Price List END OF EXHIBIT EXHIBIT @EXHIBIT H ATTACHMENT #1‌ @1‌ STATE OF CALIFORNIA HOTEL/MOTEL TRANSIENT OCCUPANCY TAX WAIVER (EXEMPTION CERTIFICATE FOR STATE AGENCIES)‌ STD. 236 (NEW 9-91) HOTEL/MOTEL OPERATOR: RETAIN THIS WAIVER FOR YOUR FILES TO SUBSTANTIATE YOUR REPORTS. PARTICIPATION BY OPERATORS IS STRICTLY VOLUNTARY Date Executed: HOTEL / MOTEL NAME TO: HOTEL / MOTEL ADDRESS (Number, Street, City, State, ZIP Code) This is to certify that I, the undersigned traveler, am a representative or employee of the State agency indicated below; that the charges for the occupancy at the above establishment on the dates set forth below have been, or will be paid for by the State of California; and that such charges are incurred in the performance of my official duties as a representative or employee of the State of California. OCCUPANCY DATE(S) AMOUNT PAID $ STATE AGENCY NAME JUDICIAL COUNCIL OF CALIFORNIA HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed) I hereby declare under the penalty of perjury that the foregoing statements are true and correct. EXECUTED AT: (City) TRAVELER'S SIGNATURE DATE SIGNED ,CALIFORNIACALIFORNIA END OF ATTACHMENT

Appears in 1 contract

Samples: Agreement

Disallowance. If the Contractor claims or receives payment for a service or reimbursement that is later disallowed by the Judicial Council, the Contractor shall promptly refund the disallowed amount upon the Judicial CouncilCouncil 's request. At its option, the Judicial Council may offset the amount disallowed from any payment due or that may become due to the Contractor under this Agreement or any other agreement. END OF EXHIBIT Attachment 2 RFP Title: Probate and Mental Health Institute RFP Number: CRS SP 131 Judicial Council of California Standard Agreement No. @Agreement Number with @Contractor Name EXHIBIT H ATTACHMENTS‌ ATTACHMENTS This exhibit includes the following attachment(s): o Attachment 1, Hotel/Motel Transient Occupancy Tax Waiver o Attachment 2, Contractor’s Audio-Visual Equipment Price List o Attachment 3, Contractor’s Catering Price List END OF EXHIBIT EXHIBIT H ATTACHMENT #1‌ 1 STATE OF CALIFORNIA HOTEL/MOTEL TRANSIENT OCCUPANCY TAX WAIVER (EXEMPTION CERTIFICATE FOR STATE AGENCIES)‌ AGENCIES) STD. 236 (NEW 9-91) HOTEL/MOTEL OPERATOR: RETAIN THIS WAIVER FOR YOUR FILES TO SUBSTANTIATE YOUR REPORTS. PARTICIPATION BY OPERATORS IS STRICTLY VOLUNTARY Date Executed: HOTEL / MOTEL NAME TO: HOTEL / MOTEL ADDRESS (Number, Street, City, State, ZIP Code) This is to certify that I, the undersigned traveler, am a representative or employee of the State agency indicated below; that the charges for the occupancy at the above establishment on the dates set forth below have been, or will be paid for by the State of California; and that such charges are incurred in the performance of my official duties as a representative or employee of the State of California. OCCUPANCY DATE(S) AMOUNT PAID $ STATE AGENCY NAME JUDICIAL COUNCIL OF CALIFORNIA HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed) I hereby declare under the penalty of perjury that the foregoing statements are true and correct. EXECUTED AT: (City) TRAVELER'S SIGNATURE DATE SIGNED ,CALIFORNIA

Appears in 1 contract

Samples: Agreement

Disallowance. If the Contractor claims or receives payment for a service or reimbursement that is later disallowed by the Judicial CouncilAOC, the Contractor shall promptly refund the disallowed amount upon the Judicial CouncilAOC's request. At its option, the Judicial Council AOC may offset the amount disallowed from any payment due or that may become due to the Contractor under this Agreement or any other agreement. END OF EXHIBIT Attachment 2 RFP Name: ( insert RFPName) RFP Nu mber: ( INSERT RFP NUMBER) Judicial Council of California, Administrative Office of the Courts Standard Agreement No. @Agreement Number with @Contractor Name EXHIBIT H ATTACHMENTS‌ ATTACHMENTS This exhibit includes the following attachment(s): o Attachment 1, Hotel/Motel Transient Occupancy Tax Waiver o Attachment 2, Contractor’s Audio-Visual Equipment Price List o Attachment 3, Contractor’s Catering Price List END OF EXHIBIT EXHIBIT @EXHIBIT H ATTACHMENT #1‌ @1 STATE OF CALIFORNIA HOTEL/MOTEL TRANSIENT OCCUPANCY TAX WAIVER (EXEMPTION CERTIFICATE FOR STATE AGENCIES)‌ AGENCIES) STD. 236 (NEW 9-91) HOTEL/MOTEL OPERATOR: RETAIN THIS WAIVER FOR YOUR FILES TO SUBSTANTIATE YOUR REPORTS. PARTICIPATION BY OPERATORS IS STRICTLY VOLUNTARY Date Executed: HOTEL / MOTEL NAME TO: HOTEL / MOTEL ADDRESS (Number, Street, City, State, ZIP Code) This is to certify that I, the undersigned traveler, am a representative or employee of the State agency indicated below; that the charges for the occupancy at the above establishment on the dates set forth below have been, or will be paid for by the State of California; and that such charges are incurred in the performance of my official duties as a representative or employee of the State of California. OCCUPANCY DATE(S) AMOUNT PAID $ STATE AGENCY NAME JUDICIAL COUNCIL OF CALIFORNIA HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed) I hereby declare under the penalty of perjury that the foregoing statements are true and correct. EXECUTED AT: (City) TRAVELER'S SIGNATURE DATE SIGNED ,CALIFORNIA

Appears in 1 contract

Samples: Agreement

Disallowance. If the Contractor claims or receives payment for a service or reimbursement that is later disallowed by the Judicial Council, the Contractor shall promptly refund the disallowed amount upon the Judicial Council's request. At its option, the Judicial Council may offset the amount disallowed from any payment due or that may become due to the Contractor under this Agreement or any other agreement. END OF EXHIBIT with @Contractor Name EXHIBIT H ATTACHMENTS‌ This exhibit is reserved and, therefore, left blank intentionally. This exhibit includes the following attachment(s): o Attachment 1, Hotel/Motel Transient Occupancy Tax Waiver o Attachment 2, Contractor’s Audio-Visual Equipment Price List o Attachment 3, Contractor’s Catering Price List END OF EXHIBIT EXHIBIT H ATTACHMENT #1‌ STATE OF CALIFORNIA HOTEL/MOTEL TRANSIENT OCCUPANCY TAX WAIVER (EXEMPTION CERTIFICATE FOR STATE AGENCIES)‌ AGENCIES) STD. 236 (NEW 9-91) HOTEL/MOTEL OPERATOR: RETAIN THIS WAIVER FOR YOUR FILES TO SUBSTANTIATE YOUR REPORTS. PARTICIPATION BY OPERATORS IS STRICTLY VOLUNTARY Date Executed: HOTEL / MOTEL NAME TO: HOTEL / MOTEL ADDRESS (Number, Street, City, State, ZIP Code) This is to certify that I, the undersigned traveler, am a representative or employee of the State agency indicated below; that the charges for the occupancy at the above establishment on the dates set forth below have been, or will be paid for by the State of California; and that such charges are incurred in the performance of my official duties as a representative or employee of the State of California. OCCUPANCY DATE(S) AMOUNT PAID $ STATE AGENCY NAME JUDICIAL COUNCIL OF CALIFORNIA HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed) I hereby declare under the penalty of perjury that the foregoing statements are true and correct. EXECUTED AT: (City) TRAVELER'S SIGNATURE DATE SIGNED ,CALIFORNIA

Appears in 1 contract

Samples: Agreement

Disallowance. If the Contractor claims or receives payment for a service or reimbursement that is later disallowed by the Judicial CouncilAOC, the Contractor shall promptly refund the disallowed amount upon the Judicial CouncilAOC's request. At its option, the Judicial Council AOC may offset the amount disallowed from any payment due or that may become due to the Contractor under this Agreement or any other agreement. END OF EXHIBIT Attachment 1 RFP Title: 2014 Labor Relations Academy I/II RFP Number: CRS SP 077 Judicial Council of California, Administrative Office of the Courts Standard Agreement No. @Agreement Number with @Contractor Name EXHIBIT H ATTACHMENTS‌ ATTACHMENTS This exhibit includes the following attachment(s): o Attachment 1, Hotel/Motel Transient Occupancy Tax Waiver o Attachment 2, Contractor’s Audio-Visual Equipment Price List o Attachment 3, Contractor’s Catering Price List END OF EXHIBIT EXHIBIT H ATTACHMENT #1‌ 1 STATE OF CALIFORNIA HOTEL/MOTEL TRANSIENT OCCUPANCY TAX WAIVER (EXEMPTION CERTIFICATE FOR STATE AGENCIES)‌ AGENCIES) STD. 236 (NEW 9-91) HOTEL/MOTEL OPERATOR: RETAIN THIS WAIVER FOR YOUR FILES TO SUBSTANTIATE YOUR REPORTS. PARTICIPATION BY OPERATORS IS STRICTLY VOLUNTARY Date Executed: HOTEL / MOTEL NAME TO: HOTEL / MOTEL ADDRESS (Number, Street, City, State, ZIP Code) This is to certify that I, the undersigned traveler, am a representative or employee of the State agency indicated below; that the charges for the occupancy at the above establishment on the dates set forth below have been, or will be paid for by the State of California; and that such charges are incurred in the performance of my official duties as a representative or employee of the State of California. OCCUPANCY DATE(S) AMOUNT PAID $ STATE AGENCY NAME JUDICIAL COUNCIL OF CALIFORNIA HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed) I hereby declare under the penalty of perjury that the foregoing statements are true and correct. EXECUTED AT: (City) TRAVELER'S SIGNATURE DATE SIGNED ,CALIFORNIA

Appears in 1 contract

Samples: Agreement

Disallowance. If the Contractor claims or receives payment for a service or reimbursement that is later disallowed by the Judicial CouncilAOC, the Contractor shall promptly refund the disallowed amount upon the Judicial CouncilAOC's request. At its option, the Judicial Council AOC may offset the amount disallowed from any payment due or that may become due to the Contractor under this Agreement or any other agreement. END OF EXHIBIT Standard Agreement No. Agreement Number with @Contractor Contractor Name EXHIBIT H ATTACHMENTS‌ ATTACHMENTS This exhibit includes the following attachment(s): o Attachment 1, Hotel/Motel Transient Occupancy Tax Waiver o Attachment 2, Contractor’s Audio-Visual Equipment Price List o Attachment 3, Contractor’s Catering Price List END OF EXHIBIT EXHIBIT H ATTACHMENT #1‌ 1 STATE OF CALIFORNIA HOTEL/MOTEL TRANSIENT OCCUPANCY TAX WAIVER (EXEMPTION CERTIFICATE FOR STATE AGENCIES)‌ AGENCIES) STD. 236 (NEW 9-91) HOTEL/MOTEL OPERATOR: RETAIN THIS WAIVER FOR YOUR FILES TO SUBSTANTIATE YOUR REPORTS. PARTICIPATION BY OPERATORS IS STRICTLY VOLUNTARY Date Executed: HOTEL / MOTEL NAME TO: HOTEL / MOTEL ADDRESS (Number, Street, City, State, ZIP Code) This is to certify that I, the undersigned traveler, am a representative or employee of the State agency indicated below; that the charges for the occupancy at the above establishment on the dates set forth below have been, or will be paid for by the State of California; and that such charges are incurred in the performance of my official duties as a representative or employee of the State of California. OCCUPANCY DATE(S) AMOUNT PAID January 29-30, 2014 $ STATE AGENCY NAME JUDICIAL COUNCIL OF CALIFORNIA CALIFORNIA, Administrative Office of the Courts HEADQUARTERS ADDRESS _000 Xxxxxx Xxxx Xxxxxx, Xxx Xxxxxxxxx, Xx. 00000 TRAVELER'S NAME (Printed or Typed) Participants of the TCPJAC and CEAC Statewide Business Meeting I hereby declare under the penalty of perjury that the foregoing statements are true and correct. EXECUTED AT: (City) TRAVELER'S MEETING PLANNER’S SIGNATURE DATE SIGNED ,CALIFORNIASan Francisco, CALIFORNIA Xxx Xxxxxx 10.23.2013

Appears in 1 contract

Samples: Agreement

Disallowance. If the Contractor claims or receives payment for a service or reimbursement that is later disallowed by the Judicial CouncilAOC, the Contractor shall promptly refund the disallowed amount upon the Judicial CouncilAOC's request. At its option, the Judicial Council AOC may offset the amount disallowed from any payment due or that may become due to the Contractor under this Agreement or any other agreement. END OF EXHIBIT Attachment 2 RFP Name: Cow County Institute RFP Nu mber: ASU EG– 004 - SS Judicial Council of California, Administrative Office of the Courts Standard Agreement No. @Agreement Number with @Contractor Name EXHIBIT H ATTACHMENTS‌ This @This exhibit is reserved and, therefore, left blank intentionally. @This exhibit includes the following attachment(s): o Attachment 1@Attachment @1, Hotel/Motel Transient Occupancy Tax Waiver o Attachment 2@Attachment @2, Contractor’s Audio-Visual Equipment Price List o Attachment 3, Contractor’s Catering Price List END OF EXHIBIT EXHIBIT @EXHIBIT H ATTACHMENT #1‌ @1‌ STATE OF CALIFORNIA HOTEL/MOTEL TRANSIENT OCCUPANCY TAX WAIVER (EXEMPTION CERTIFICATE FOR STATE AGENCIES)‌ STD. 236 (NEW 9-91) HOTEL/MOTEL OPERATOR: RETAIN THIS WAIVER FOR YOUR FILES TO SUBSTANTIATE YOUR REPORTS. PARTICIPATION BY OPERATORS IS STRICTLY VOLUNTARY Date Executed: HOTEL / MOTEL NAME TO: HOTEL / MOTEL ADDRESS (Number, Street, City, State, ZIP Code) This is to certify that I, the undersigned traveler, am a representative or employee of the State agency indicated below; that the charges for the occupancy at the above establishment on the dates set forth below have been, or will be paid for by the State of California; and that such charges are incurred in the performance of my official duties as a representative or employee of the State of California. OCCUPANCY DATE(S) AMOUNT PAID $ STATE AGENCY NAME JUDICIAL COUNCIL OF CALIFORNIA HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed) I hereby declare under the penalty of perjury that the foregoing statements are true and correct. EXECUTED AT: (City) TRAVELER'S SIGNATURE DATE SIGNED ,CALIFORNIA

Appears in 1 contract

Samples: Agreement

Disallowance. If the Contractor claims or receives payment for a service or reimbursement that is later disallowed by the Judicial Council, the Contractor shall promptly refund the disallowed amount upon the Judicial Council's request. At its option, the Judicial Council may offset the amount disallowed from any payment due or that may become due to the Contractor under this Agreement or any other agreement. END OF EXHIBIT with @Contractor Name EXHIBIT H ATTACHMENTS‌ This exhibit includes the following attachment(s): o Attachment 1, Hotel/Motel Transient Occupancy Tax Waiver o Attachment 2, Contractor’s Audio-Visual Equipment Price List o Attachment 3, Contractor’s Catering Price List Menu and Pricing END OF EXHIBIT EXHIBIT H ATTACHMENT #1‌ STATE OF CALIFORNIA HOTEL/MOTEL TRANSIENT OCCUPANCY TAX WAIVER (EXEMPTION CERTIFICATE FOR STATE AGENCIES)‌ STD. 236 (NEW 9-91) HOTEL/MOTEL OPERATOR: RETAIN THIS WAIVER FOR YOUR FILES TO SUBSTANTIATE YOUR REPORTS. PARTICIPATION BY OPERATORS IS STRICTLY VOLUNTARY Date Executed: HOTEL / MOTEL NAME TO: HOTEL / MOTEL ADDRESS (Number, Street, City, State, ZIP Code) This is to certify that I, the undersigned traveler, am a representative or employee of the State agency indicated below; that the charges for the occupancy at the above establishment on the dates set forth below have been, or will be paid for by the State of California; and that such charges are incurred in the performance of my official duties as a representative or employee of the State of California. OCCUPANCY DATE(S) AMOUNT PAID $ STATE AGENCY NAME JUDICIAL COUNCIL OF CALIFORNIA HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed) I hereby declare under the penalty of perjury that the foregoing statements are true and correct. EXECUTED AT: (City) TRAVELER'S SIGNATURE DATE SIGNED ,CALIFORNIACALIFORNIA END OF ATTACHMENT EXHIBIT H ATTACHMENT # Contractor’s Audio-Visual Equipment Price List END OF ATTACHMENT EXHIBIT H ATTACHMENT #3 Contractor’s Menu and Pricing

Appears in 1 contract

Samples: Agreement

Disallowance. If the Contractor claims or receives payment for a service or reimbursement that is later disallowed by the Judicial CouncilAOC, the Contractor shall promptly refund the disallowed amount upon the Judicial CouncilAOC's request. At its option, the Judicial Council AOC may offset the amount disallowed from any payment due or that may become due to the Contractor under this Agreement or any other agreement. END OF EXHIBIT Attachment 2 RFP Name: B. E. Xxxxxx Judicial Colleg e of California RFP Nu mber: CRS TD 033 Judicial Council of California, Administrative Office of the Courts Standard Agreement No. @Agreement Number with @Contractor Name EXHIBIT H ATTACHMENTS‌ This ATTACHMENTS @This exhibit is reserved and, therefore, left blank intentionally. @This exhibit includes the following attachment(s): o Attachment 1, Hotel/Motel Transient Occupancy Tax Waiver o Attachment 2, Contractor’s Audio-Visual Equipment Price List o Attachment 3, Contractor’s Catering Price List END OF EXHIBIT EXHIBIT @EXHIBIT H ATTACHMENT #1‌ @1 STATE OF CALIFORNIA HOTEL/MOTEL TRANSIENT OCCUPANCY TAX WAIVER (EXEMPTION CERTIFICATE FOR STATE AGENCIES)‌ AGENCIES) STD. 236 (NEW 9-91) HOTEL/MOTEL OPERATOR: RETAIN THIS WAIVER FOR YOUR FILES TO SUBSTANTIATE YOUR REPORTS. PARTICIPATION BY OPERATORS IS STRICTLY VOLUNTARY Date Executed: HOTEL / MOTEL NAME TO: HOTEL / MOTEL ADDRESS (Number, Street, City, State, ZIP Code) This is to certify that I, the undersigned traveler, am a representative or employee of the State agency indicated below; that the charges for the occupancy at the above establishment on the dates set forth below have been, or will be paid for by the State of California; and that such charges are incurred in the performance of my official duties as a representative or employee of the State of California. OCCUPANCY DATE(S) AMOUNT PAID $ STATE AGENCY NAME JUDICIAL COUNCIL OF CALIFORNIA HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed) I hereby declare under the penalty of perjury that the foregoing statements are true and correct. EXECUTED AT: (City) TRAVELER'S SIGNATURE DATE SIGNED ,CALIFORNIA

Appears in 1 contract

Samples: Agreement

Disallowance. If the Contractor claims or receives payment for a service or reimbursement that is later disallowed by the Judicial CouncilAOC, the Contractor shall promptly refund the disallowed amount upon the Judicial CouncilAOC's request. At its option, the Judicial Council AOC may offset the amount disallowed from any payment due or that may become due to the Contractor under this Agreement or any other agreement. END OF EXHIBIT with @Contractor Name EXHIBIT H ATTACHMENTS‌ This ATTACHMENTS [Choose Option one OR Option two:] [Option one - If attachments are not part of the agreement at this time, but may be eventually, delete all of Option two, as set forth below, and insert the following:] @This exhibit includes is reserved and, therefore, left blank intentionally. [Option two – If attachments are part of the following attachment(s): o agreement, delete all of Option one, above, and provide contract specialist with t identified attachments for incorporation into this exhibit. Attachments are optional, but may be consist of the following: Attachment 1XX, Hotel/Motel Transient Occupancy Tax Waiver o Contractor’s Catering Price List (if required per Exhibit E); Attachment 2YY, Contractor’s Audio-Visual Equipment Price List o (if required per Exhibit F); and, Attachment 3ZZ, Hotel/Motel Transient Occupancy Tax Waiver (if required per Exhibit C). The attachments can be listed on this page, if desired, and should be provided to contract specialist in an electronic format – revised 3/28/06.] @This exhibit includes the following attachment(s): @Attachment @1, Hotel/Motel Transient Occupancy Tax Waiver @Attachment @2, Contractor’s Catering Audio-Visual Equipment Price List END OF EXHIBIT EXHIBIT @EXHIBIT H [If Sleeping Room provision in Exhibit C includes option of tax waiver, then this optional form is to be incorporated into the agreement as an attachment. Note, per the Sleeping Room provision in Exhibit C, that the form is incorporated already signed; insert appropriate attachment number below and in footer, sign, scan, and provide in electronic format to contract specialist –revised 3/28/06:] ATTACHMENT #1‌ @1 STATE OF CALIFORNIA HOTEL/MOTEL TRANSIENT OCCUPANCY TAX WAIVER (EXEMPTION CERTIFICATE FOR STATE AGENCIES)‌ AGENCIES) STD. 236 (NEW 9-91) HOTEL/MOTEL OPERATOR: RETAIN THIS WAIVER FOR YOUR FILES TO SUBSTANTIATE YOUR REPORTS. PARTICIPATION BY OPERATORS IS STRICTLY VOLUNTARY Date Executed: HOTEL / MOTEL NAME TO: ___________________________________________________________ HOTEL / MOTEL ADDRESS (Number, Street, City, State, ZIP Code) _________________________________________________________________________________________________________________________________ This is to certify that I, the undersigned traveler, am a representative or employee of the State agency indicated below; that the charges for the occupancy at the above establishment on the dates set forth below have been, or will be paid for by the State of California; and that such charges are incurred in the performance of my official duties as a representative or employee of the State of California. ____________________________________________________________________________________________________________ OCCUPANCY DATE(S) AMOUNT PAID $ _____________________________________________________________________$_________________ STATE AGENCY NAME JUDICIAL COUNCIL OF CALIFORNIA ____________________________________________________________________________________________________________ HEADQUARTERS ADDRESS ____________________________________________________________________________________________________________ TRAVELER'S NAME (Printed or Typed) ____________________________________________________________________________________________________________ I hereby declare under the penalty of perjury that the foregoing statements are true and correct. _________________________________________________________________________________________________________________________________ EXECUTED AT: (City) TRAVELER'S SIGNATURE DATE SIGNED ,CALIFORNIACALIFORNIA END OF ATTACHMENT

Appears in 1 contract

Samples: Services Agreement

Disallowance. If the Contractor claims or receives payment for a service or reimbursement that is later disallowed by the Judicial Council, the Contractor shall promptly refund the disallowed amount upon the Judicial CouncilCouncil 's request. At its option, the Judicial Council may offset the amount disallowed from any payment due or that may become due to the Contractor under this Agreement or any other agreement. END OF EXHIBIT with @Contractor Name EXHIBIT H ATTACHMENTS‌ This exhibit is reserved and, therefore, left blank intentionally. This exhibit includes the following attachment(s): o Attachment 1, Hotel/Motel Transient Occupancy Tax Waiver o Attachment 2, Contractor’s Audio-Visual Equipment Price List o Attachment 3, Contractor’s Catering Price List END OF EXHIBIT EXHIBIT H ATTACHMENT #1‌ STATE OF CALIFORNIA HOTEL/MOTEL TRANSIENT OCCUPANCY TAX WAIVER (EXEMPTION CERTIFICATE FOR STATE AGENCIES)‌ STD. 236 (NEW 9-91) HOTEL/MOTEL OPERATOR: RETAIN THIS WAIVER FOR YOUR FILES TO SUBSTANTIATE YOUR REPORTS. PARTICIPATION BY OPERATORS IS STRICTLY VOLUNTARY Date Executed: HOTEL / MOTEL NAME TO: HOTEL / MOTEL ADDRESS (Number, Street, City, State, ZIP Code) This is to certify that I, the undersigned traveler, am a representative or employee of the State agency indicated below; that the charges for the occupancy at the above establishment on the dates set forth below have been, or will be paid for by the State of California; and that such charges are incurred in the performance of my official duties as a representative or employee of the State of California. OCCUPANCY DATE(S) AMOUNT PAID $ STATE AGENCY NAME JUDICIAL COUNCIL OF CALIFORNIA HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed) I hereby declare under the penalty of perjury that the foregoing statements are true and correct. EXECUTED AT: (City) TRAVELER'S SIGNATURE DATE SIGNED ,CALIFORNIA

Appears in 1 contract

Samples: Services Agreement

Disallowance. If the Contractor claims or receives payment for a service or reimbursement that is later disallowed by the Judicial Council, the Contractor shall promptly refund the disallowed amount upon the Judicial Council's request. At its option, the Judicial Council may offset the amount disallowed from any payment due or that may become due to the Contractor under this Agreement or any other agreement. END OF EXHIBIT with @Contractor Name EXHIBIT H ATTACHMENTS‌ This exhibit includes the following attachment(s): o Attachment 1, Hotel/Motel Transient Occupancy Tax Waiver o Attachment 2, Contractor’s Audio-Visual Equipment Price List o Attachment 3, Contractor’s Catering Price List END OF EXHIBIT EXHIBIT H ATTACHMENT #1‌ 1‌‌‌‌‌‌‌ STATE OF CALIFORNIA HOTEL/MOTEL TRANSIENT OCCUPANCY TAX WAIVER (EXEMPTION CERTIFICATE FOR STATE AGENCIES)‌ STD. 236 (NEW 9-91) HOTEL/MOTEL OPERATOR: RETAIN THIS WAIVER FOR YOUR FILES TO SUBSTANTIATE YOUR REPORTS. PARTICIPATION BY OPERATORS IS STRICTLY VOLUNTARY Date Executed: HOTEL / MOTEL NAME TO: HOTEL / MOTEL ADDRESS (Number, Street, City, State, ZIP Code) This is to certify that I, the undersigned traveler, am a representative or employee of the State agency indicated below; that the charges for the occupancy at the above establishment on the dates set forth below have been, or will be paid for by the State of California; and that such charges are incurred in the performance of my official duties as a representative or employee of the State of California. OCCUPANCY DATE(S) AMOUNT PAID $ STATE AGENCY NAME JUDICIAL COUNCIL OF CALIFORNIA HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed) I hereby declare under the penalty of perjury that the foregoing statements are true and correct. EXECUTED AT: (City) TRAVELER'S SIGNATURE DATE SIGNED ,CALIFORNIA

Appears in 1 contract

Samples: Agreement

Disallowance. If the Contractor claims or receives payment for a service or reimbursement that is later disallowed by the Judicial CouncilAOC, the Contractor shall promptly refund the disallowed amount upon the Judicial CouncilAOC's request. At its option, the Judicial Council AOC may offset the amount disallowed from any payment due or that may become due to the Contractor under this Agreement or any other agreement. END OF EXHIBIT Standard Agreement No. @Agreement Number with @Contractor Name EXHIBIT H ATTACHMENTS‌ This exhibit includes the following attachment(s): o Attachment 1@Attachment @1, Hotel/Motel Transient Occupancy Tax Waiver o Attachment 2, Contractor’s Audio-Visual Equipment Price List o Attachment 3@Attachment @2, Contractor’s Catering Price List END OF EXHIBIT EXHIBIT @EXHIBIT H ATTACHMENT #1‌ @1‌ STATE OF CALIFORNIA HOTEL/MOTEL TRANSIENT OCCUPANCY TAX WAIVER (EXEMPTION CERTIFICATE FOR STATE AGENCIES)‌ STD. 236 (NEW 9-91) HOTEL/MOTEL OPERATOR: RETAIN THIS WAIVER FOR YOUR FILES TO SUBSTANTIATE YOUR REPORTS. PARTICIPATION BY OPERATORS IS STRICTLY VOLUNTARY Date Executed: HOTEL / MOTEL NAME TO: HOTEL / MOTEL ADDRESS (Number, Street, City, State, ZIP Code) This is to certify that I, the undersigned traveler, am a representative or employee of the State agency indicated below; that the charges for the occupancy at the above establishment on the dates set forth below have been, or will be paid for by the State of California; and that such charges are incurred in the performance of my official duties as a representative or employee of the State of California. OCCUPANCY DATE(S) AMOUNT PAID $ STATE AGENCY NAME JUDICIAL COUNCIL OF CALIFORNIA HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed) I hereby declare under the penalty of perjury that the foregoing statements are true and correct. EXECUTED AT: (City) TRAVELER'S SIGNATURE DATE SIGNED ,CALIFORNIA

Appears in 1 contract

Samples: Agreement

Disallowance. If the Contractor claims or receives payment for a service or reimbursement that is later disallowed by the Judicial CouncilAOC, the Contractor shall promptly refund the disallowed amount upon the Judicial CouncilAOC's request. At its option, the Judicial Council AOC may offset the amount disallowed from any payment due or that may become due to the Contractor under this Agreement or any other agreement. END OF EXHIBIT Attachment 2 RFP Name: XX/ CEO Court Manage ment Progra m RFP Nu mber: CRS SP 043 Judicial Council of California, Administrative Office of the Courts Standard Agreement No. @Agreement Number with @Contractor Name EXHIBIT H ATTACHMENTS‌ ATTACHMENTS This exhibit includes the following attachment(s): o Attachment 1, Hotel/Motel Transient Occupancy Tax Waiver o Attachment 2, Contractor’s Audio-Visual Equipment Price List o Attachment 3, Contractor’s Catering Price List END OF EXHIBIT EXHIBIT H ATTACHMENT #1‌ 1 STATE OF CALIFORNIA HOTEL/MOTEL TRANSIENT OCCUPANCY TAX WAIVER (EXEMPTION CERTIFICATE FOR STATE AGENCIES)‌ AGENCIES) STD. 236 (NEW 9-91) HOTEL/MOTEL OPERATOR: RETAIN THIS WAIVER FOR YOUR FILES TO SUBSTANTIATE YOUR REPORTS. PARTICIPATION BY OPERATORS IS STRICTLY VOLUNTARY Date Executed: HOTEL / MOTEL NAME TO: HOTEL / MOTEL ADDRESS (Number, Street, City, State, ZIP Code) _ This is to certify that I, the undersigned traveler, am a representative or employee of the State agency indicated below; that the charges for the occupancy at the above establishment on the dates set forth below have been, or will be paid for by the State of California; and that such charges are incurred in the performance of my official duties as a representative or employee of the State of California. OCCUPANCY DATE(S) AMOUNT PAID $ STATE AGENCY NAME JUDICIAL COUNCIL OF CALIFORNIA HEADQUARTERS ADDRESS 000 Xxxxxx Xxxx Xxxxxx, Xxx Xxxxxxxxx, XX 00000 TRAVELER'S NAME (Printed or Typed) I hereby declare under the penalty of perjury that the foregoing statements are true and correct. EXECUTED AT: (City) TRAVELER'S SIGNATURE DATE SIGNED ,San Francisco, CALIFORNIA

Appears in 1 contract

Samples: Agreement

Disallowance. If the Contractor claims or receives payment for a service or reimbursement that is later disallowed by the Judicial Council, the Contractor shall promptly refund the disallowed amount upon the Judicial Council's request. At its option, the Judicial Council may offset the amount disallowed from any payment due or that may become due to the Contractor under this Agreement or any other agreement. END OF EXHIBIT with @Contractor Name EXHIBIT H ATTACHMENTS‌ This ATTACHMENTS @This exhibit is reserved and, therefore, left blank intentionally. @This exhibit includes the following attachment(s): o Attachment 1@Attachment @1, Hotel/Motel Transient Occupancy Tax Waiver o Attachment 2@Attachment @2, Contractor’s Audio-Visual Equipment Price List o Attachment 3@Attachment @3, Contractor’s Catering Price List o @Attachment @4, Xxxxx Civil Rights Act and California Fair Employment and Housing Act Certification END OF EXHIBIT EXHIBIT @EXHIBIT H ATTACHMENT #1‌ @1 STATE OF CALIFORNIA HOTEL/MOTEL TRANSIENT OCCUPANCY TAX WAIVER (EXEMPTION CERTIFICATE FOR STATE AGENCIES)‌ AGENCIES) STD. 236 (NEW 9-91) HOTEL/MOTEL OPERATOR: RETAIN THIS WAIVER FOR YOUR FILES TO SUBSTANTIATE YOUR REPORTS. PARTICIPATION BY OPERATORS IS STRICTLY VOLUNTARY Date Executed: HOTEL / MOTEL NAME TO: HOTEL / MOTEL ADDRESS (Number, Street, City, State, ZIP Code) This is to certify that I, the undersigned traveler, am a representative or employee of the State agency indicated below; that the charges for the occupancy at the above establishment on the dates set forth below have been, or will be paid for by the State of California; and that such charges are incurred in the performance of my official duties as a representative or employee of the State of California. OCCUPANCY DATE(S) AMOUNT PAID $ STATE AGENCY NAME JUDICIAL COUNCIL OF CALIFORNIA HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed) I hereby declare under the penalty of perjury that the foregoing statements are true and correct. EXECUTED AT: (City) TRAVELER'S SIGNATURE DATE SIGNED ,CALIFORNIACALIFORNIA END OF ATTACHMENT @EXHIBIT H ATTACHMENT #@4 XXXXX CIVIL RIGHTS ACT AND

Appears in 1 contract

Samples: Agreement

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Disallowance. If the Contractor claims or receives payment for a service or reimbursement that is later disallowed by the Judicial CouncilAOC, the Contractor shall promptly refund the disallowed amount upon the Judicial CouncilAOC's request. At its option, the Judicial Council AOC may offset the amount disallowed from any payment due or that may become due to the Contractor under this Agreement or any other agreement. END OF EXHIBIT with @Contractor Name EXHIBIT H ATTACHMENTS‌ This ATTACHMENTS [Choose Option one OR Option two:] [Option one - If attachments are not part of the agreement at this time, but may be eventually, delete all of Option two, as set forth below, and insert the following:] @This exhibit includes is reserved and, therefore, left blank intentionally. [Option two – If attachments are part of the following attachment(s): o agreement, delete all of Option one, above, and provide contract specialist with t identified attachments for incorporation into this exhibit. Attachments are optional, but may be consist of the following: Attachment 1XX, Hotel/Motel Transient Occupancy Tax Waiver o Contractor’s Catering Price List (if required per Exhibit E); Attachment 2YY, Contractor’s Audio-Visual Equipment Price List o (if required per Exhibit F); and, Attachment 3ZZ, Hotel/Motel Transient Occupancy Tax Waiver (if required per Exhibit C). The attachments can be listed on this page, if desired, and should be provided to contract specialist in an electronic format – revised 3/28/06.] @This exhibit includes the following attachment(s): @Attachment @1, Hotel/Motel Transient Occupancy Tax Waiver @Attachment @2, Contractor’s Audio-Visual Equipment Price List @Attachment @3, Contractor’s Catering Price List END OF EXHIBIT EXHIBIT @EXHIBIT H [If Sleeping Room provision in Exhibit C includes option of tax waiver, then this optional form is to be incorporated into the agreement as an attachment. Note, per the Sleeping Room provision in Exhibit C, that the form is incorporated already signed; insert appropriate attachment number below and in footer, sign, scan, and provide in electronic format to contract specialist –revised 3/28/06:] ATTACHMENT #1‌ @1 STATE OF CALIFORNIA HOTEL/MOTEL TRANSIENT OCCUPANCY TAX WAIVER (EXEMPTION CERTIFICATE FOR STATE AGENCIES)‌ AGENCIES) STD. 236 (NEW 9-91) HOTEL/MOTEL OPERATOR: RETAIN THIS WAIVER FOR YOUR FILES TO SUBSTANTIATE YOUR REPORTS. PARTICIPATION BY OPERATORS IS STRICTLY VOLUNTARY Date Executed: HOTEL / MOTEL NAME TO: ___________________________________________________________ HOTEL / MOTEL ADDRESS (Number, Street, City, State, ZIP Code) _________________________________________________________________________________________________________________________________ This is to certify that I, the undersigned traveler, am a representative or employee of the State agency indicated below; that the charges for the occupancy at the above establishment on the dates set forth below have been, or will be paid for by the State of California; and that such charges are incurred in the performance of my official duties as a representative or employee of the State of California. ____________________________________________________________________________________________________________ OCCUPANCY DATE(S) AMOUNT PAID $ _____________________________________________________________________$_________________ STATE AGENCY NAME JUDICIAL COUNCIL OF CALIFORNIA ____________________________________________________________________________________________________________ HEADQUARTERS ADDRESS ____________________________________________________________________________________________________________ TRAVELER'S NAME (Printed or Typed) ____________________________________________________________________________________________________________ I hereby declare under the penalty of perjury that the foregoing statements are true and correct. _________________________________________________________________________________________________________________________________ EXECUTED AT: (City) TRAVELER'S SIGNATURE DATE SIGNED ,CALIFORNIA

Appears in 1 contract

Samples: Services Agreement

Disallowance. If the Contractor claims or receives payment for a service or reimbursement that is later disallowed by the Judicial CouncilAOC, the Contractor shall promptly refund the disallowed amount upon the Judicial CouncilAOC's request. At its option, the Judicial Council AOC may offset the amount disallowed from any payment due or that may become due to the Contractor under this Agreement or any other agreement. END OF EXHIBIT Attachment 2 RFP Name: Labor Relations Academy I / II - Sacramento RFP NUMBER: CRS TD 038 Judicial Council of California, Administrative Office of the Courts Standard Agreement No. @Agreement Number with @Contractor Name EXHIBIT H ATTACHMENTS‌ This ATTACHMENTS @This exhibit is reserved and, therefore, left blank intentionally. @This exhibit includes the following attachment(s): o Attachment 1@Attachment @1, Hotel/Motel Transient Occupancy Tax Waiver o Attachment 2, Contractor’s Audio-Visual Equipment Price List o Attachment 3, Contractor’s Catering Price List END OF EXHIBIT EXHIBIT @EXHIBIT H ATTACHMENT #1‌ @1 STATE OF CALIFORNIA HOTEL/MOTEL TRANSIENT OCCUPANCY TAX WAIVER (EXEMPTION CERTIFICATE FOR STATE AGENCIES)‌ AGENCIES) STD. 236 (NEW 9-91) HOTEL/MOTEL OPERATOR: RETAIN THIS WAIVER FOR YOUR FILES TO SUBSTANTIATE YOUR REPORTS. PARTICIPATION BY OPERATORS IS STRICTLY VOLUNTARY Date Executed: HOTEL / MOTEL NAME TO: HOTEL / MOTEL ADDRESS (Number, Street, City, State, ZIP Code) This is to certify that I, the undersigned traveler, am a representative or employee of the State agency indicated below; that the charges for the occupancy at the above establishment on the dates set forth below have been, or will be paid for by the State of California; and that such charges are incurred in the performance of my official duties as a representative or employee of the State of California. OCCUPANCY DATE(S) AMOUNT PAID $ STATE AGENCY NAME JUDICIAL COUNCIL OF CALIFORNIA HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed) I hereby declare under the penalty of perjury that the foregoing statements are true and correct. EXECUTED AT: (City) TRAVELER'S SIGNATURE DATE SIGNED ,CALIFORNIA

Appears in 1 contract

Samples: Agreement

Disallowance. If the Contractor claims or receives payment for a service or reimbursement that is later disallowed by the Judicial Council, the Contractor shall promptly refund the disallowed amount upon the Judicial Council's request. At its option, the Judicial Council may offset the amount disallowed from any payment due or that may become due to the Contractor under this Agreement or any other agreement. END OF EXHIBIT with @Contractor Contractor Name EXHIBIT H ATTACHMENTS‌ This exhibit includes the following attachment(s): o Attachment 1, Hotel/Motel Transient Occupancy Tax Waiver o Attachment 2, Contractor’s Audio-Visual Equipment Price List o Attachment 3, Contractor’s Catering Price List END OF EXHIBIT EXHIBIT @EXHIBIT H ATTACHMENT #1‌ @1‌ STATE OF CALIFORNIA HOTEL/MOTEL TRANSIENT OCCUPANCY TAX WAIVER (EXEMPTION CERTIFICATE FOR STATE AGENCIES)‌ STD. 236 (NEW 9-91) HOTEL/MOTEL OPERATOR: RETAIN THIS WAIVER FOR YOUR FILES TO SUBSTANTIATE YOUR REPORTS. PARTICIPATION BY OPERATORS IS STRICTLY VOLUNTARY Date Executed: HOTEL / MOTEL NAME TO: HOTEL / MOTEL ADDRESS (Number, Street, City, State, ZIP Code) This is to certify that I, the undersigned traveler, am a representative or employee of the State agency indicated below; that the charges for the occupancy at the above establishment on the dates set forth below have been, or will be paid for by the State of California; and that such charges are incurred in the performance of my official duties as a representative or employee of the State of California. OCCUPANCY DATE(S) AMOUNT PAID $ STATE AGENCY NAME JUDICIAL COUNCIL OF CALIFORNIA HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed) I hereby declare under the penalty of perjury that the foregoing statements are true and correct. EXECUTED AT: (City) TRAVELER'S SIGNATURE DATE SIGNED ,CALIFORNIA

Appears in 1 contract

Samples: Agreement

Disallowance. If the Contractor claims or receives payment for a service or reimbursement that is later disallowed by the Judicial CouncilAOC, the Contractor shall promptly refund the disallowed amount upon the Judicial CouncilAOC's request. At its option, the Judicial Council AOC may offset the amount disallowed from any payment due or that may become due to the Contractor under this Agreement or any other agreement. END OF EXHIBIT Attachment 2 RFP Name: Appellate J ustices Institute RFP Nu mber : CRS TD 03 6 Judicial Council of California, Administrative Office of the Courts Standard Agreement No. @Agreement Number with @Contractor Name EXHIBIT H ATTACHMENTS‌ ATTACHMENTS This exhibit includes the following attachment(s): o Attachment 1, Hotel/Motel Transient Occupancy Tax Waiver o Attachment 2, Contractor’s Audio-Visual Equipment Price List o Attachment 3, Contractor’s Catering Price List END OF EXHIBIT EXHIBIT @EXHIBIT H ATTACHMENT #1‌ @1 STATE OF CALIFORNIA HOTEL/MOTEL TRANSIENT OCCUPANCY TAX WAIVER (EXEMPTION CERTIFICATE FOR STATE AGENCIES)‌ AGENCIES) STD. 236 (NEW 9-91) HOTEL/MOTEL OPERATOR: RETAIN THIS WAIVER FOR YOUR FILES TO SUBSTANTIATE YOUR REPORTS. PARTICIPATION BY OPERATORS IS STRICTLY VOLUNTARY Date Executed: HOTEL / MOTEL NAME TO: HOTEL / MOTEL ADDRESS (Number, Street, City, State, ZIP Code) This is to certify that I, the undersigned traveler, am a representative or employee of the State agency indicated below; that the charges for the occupancy at the above establishment on the dates set forth below have been, or will be paid for by the State of California; and that such charges are incurred in the performance of my official duties as a representative or employee of the State of California. OCCUPANCY DATE(S) AMOUNT PAID $ STATE AGENCY NAME JUDICIAL COUNCIL OF CALIFORNIA HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed) I hereby declare under the penalty of perjury that the foregoing statements are true and correct. EXECUTED AT: (City) TRAVELER'S SIGNATURE DATE SIGNED ,CALIFORNIACALIFORNIA END OF ATTACHMENT

Appears in 1 contract

Samples: Agreement

Disallowance. If the Contractor claims or receives payment for a service or reimbursement that is later disallowed by the Judicial Council, the Contractor shall promptly refund the disallowed amount upon the Judicial CouncilCouncil 's request. At its option, the Judicial Council may offset the amount disallowed from any payment due or that may become due to the Contractor under this Agreement or any other agreement. END OF EXHIBIT with @Contractor Contractor Name EXHIBIT H ATTACHMENTS‌ ATTACHMENTS This exhibit includes the following attachment(s): o Attachment 1, Hotel/Motel Transient Occupancy Tax Waiver o Attachment 2, Contractor’s Audio-Visual Equipment Price List o Attachment 3, Contractor’s Catering Price List END OF EXHIBIT EXHIBIT H ATTACHMENT #1‌ @1 STATE OF CALIFORNIA HOTEL/MOTEL TRANSIENT OCCUPANCY TAX WAIVER (EXEMPTION CERTIFICATE FOR STATE AGENCIES)‌ AGENCIES) STD. 236 (NEW 9-91) HOTEL/MOTEL OPERATOR: RETAIN THIS WAIVER FOR YOUR FILES TO SUBSTANTIATE YOUR REPORTS. PARTICIPATION BY OPERATORS IS STRICTLY VOLUNTARY Date Executed: HOTEL / MOTEL NAME TO: HOTEL / MOTEL ADDRESS (Number, Street, City, State, ZIP Code) This is to certify that I, the undersigned traveler, am a representative or employee of the State agency indicated below; that the charges for the occupancy at the above establishment on the dates set forth below have been, or will be paid for by the State of California; and that such charges are incurred in the performance of my official duties as a representative or employee of the State of California. OCCUPANCY DATE(S) AMOUNT PAID $ STATE AGENCY NAME JUDICIAL COUNCIL OF CALIFORNIA HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed) I hereby declare under the penalty of perjury that the foregoing statements are true and correct. EXECUTED AT: (City) TRAVELER'S SIGNATURE DATE SIGNED ,CALIFORNIA

Appears in 1 contract

Samples: Agreement

Disallowance. If the Contractor claims or receives payment for a service or reimbursement that is later disallowed by the Judicial CouncilAOC, the Contractor shall promptly refund the disallowed amount upon the Judicial CouncilAOC's request. At its option, the Judicial Council AOC may offset the amount disallowed from any payment due or that may become due to the Contractor under this Agreement or any other agreement. END OF EXHIBIT Standard Agreement No. @Agreement Number with @Contractor Name EXHIBIT H ATTACHMENTS‌ This ATTACHMENTS @This exhibit is reserved and, therefore, left blank intentionally. @This exhibit includes the following attachment(s): o Attachment 1@Attachment @1, Hotel/Motel Transient Occupancy Tax Waiver o Attachment 2@Attachment @2, Contractor’s Audio-Visual Equipment Price List o Attachment 3@Attachment @3, Contractor’s Catering Price List END OF EXHIBIT EXHIBIT @EXHIBIT H ATTACHMENT #1‌ @1 STATE OF CALIFORNIA HOTEL/MOTEL TRANSIENT OCCUPANCY TAX WAIVER (EXEMPTION CERTIFICATE FOR STATE AGENCIES)‌ AGENCIES) STD. 236 (NEW 9-91) HOTEL/MOTEL OPERATOR: RETAIN THIS WAIVER FOR YOUR FILES TO SUBSTANTIATE YOUR REPORTS. PARTICIPATION BY OPERATORS IS STRICTLY VOLUNTARY Date Executed: HOTEL / MOTEL NAME TO: HOTEL / MOTEL ADDRESS (Number, Street, City, State, ZIP Code) This is to certify that I, the undersigned traveler, am a representative or employee of the State agency indicated below; that the charges for the occupancy at the above establishment on the dates set forth below have been, or will be paid for by the State of California; and that such charges are incurred in the performance of my official duties as a representative or employee of the State of California. OCCUPANCY DATE(S) AMOUNT PAID $ STATE AGENCY NAME JUDICIAL COUNCIL OF CALIFORNIA HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed) I hereby declare under the penalty of perjury that the foregoing statements are true and correct. EXECUTED AT: (City) TRAVELER'S SIGNATURE DATE SIGNED ,CALIFORNIA

Appears in 1 contract

Samples: Agreement

Disallowance. If the Contractor claims or receives payment for a service or reimbursement that is later disallowed by the Judicial Council, the Contractor shall promptly refund the disallowed amount upon the Judicial Council's request. At its option, the Judicial Council may offset the amount disallowed from any payment due or that may become due to the Contractor under this Agreement or any other agreement. END OF EXHIBIT with @Contractor Name EXHIBIT H ATTACHMENTS‌ This exhibit includes the following attachment(s): o Attachment 1, Hotel/Motel Transient Occupancy Tax Waiver o Attachment 2, Contractor’s Audio-Visual Equipment Price List o Attachment 3, Contractor’s Catering Price List Menu END OF EXHIBIT EXHIBIT @EXHIBIT H ATTACHMENT #1‌ @1‌ STATE OF CALIFORNIA HOTEL/MOTEL TRANSIENT OCCUPANCY TAX WAIVER (EXEMPTION CERTIFICATE FOR STATE AGENCIES)‌ STD. 236 (NEW 9-91) HOTEL/MOTEL OPERATOR: RETAIN THIS WAIVER FOR YOUR FILES TO SUBSTANTIATE YOUR REPORTS. PARTICIPATION BY OPERATORS IS STRICTLY VOLUNTARY Date Executed: HOTEL / MOTEL NAME TO: HOTEL / MOTEL ADDRESS (Number, Street, City, State, ZIP Code) This is to certify that I, the undersigned traveler, am a representative or employee of the State agency indicated below; that the charges for the occupancy at the above establishment on the dates set forth below have been, or will be paid for by the State of California; and that such charges are incurred in the performance of my official duties as a representative or employee of the State of California. OCCUPANCY DATE(S) AMOUNT PAID $ STATE AGENCY NAME JUDICIAL COUNCIL OF CALIFORNIA HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed) I hereby declare under the penalty of perjury that the foregoing statements are true and correct. EXECUTED AT: (City) TRAVELER'S SIGNATURE DATE SIGNED ,CALIFORNIA

Appears in 1 contract

Samples: Agreement

Disallowance. If the Contractor claims or receives payment for a service or reimbursement that is later disallowed by the Judicial Council, the Contractor shall promptly refund the disallowed amount upon the Judicial Council's request. At its option, the Judicial Council may offset the amount disallowed from any payment due or that may become due to the Contractor under this Agreement or any other agreement. END OF EXHIBIT with @Contractor Name EXHIBIT H ATTACHMENTS‌ This exhibit includes the following attachment(s): o Attachment 1, Hotel/Motel Transient Occupancy Tax Waiver o Attachment 2, Contractor’s Audio-Visual Equipment Price List o Attachment 3, Contractor’s Catering Price List o Attachment 4, Xxxxx Civil Rights Act and California Fair Employment and Housing Act Certification END OF EXHIBIT EXHIBIT H ATTACHMENT #1‌ STATE OF CALIFORNIA HOTEL/MOTEL TRANSIENT OCCUPANCY TAX WAIVER (EXEMPTION CERTIFICATE FOR STATE AGENCIES)‌ AGENCIES) STD. 236 (NEW 9-91) HOTEL/MOTEL OPERATOR: RETAIN THIS WAIVER FOR YOUR FILES TO SUBSTANTIATE YOUR REPORTS. PARTICIPATION BY OPERATORS IS STRICTLY VOLUNTARY Date Executed: HOTEL / MOTEL NAME TO: HOTEL / MOTEL ADDRESS (Number, Street, City, State, ZIP Code) This is to certify that I, the undersigned traveler, am a representative or employee of the State agency indicated below; that the charges for the occupancy at the above establishment on the dates set forth below have been, or will be paid for by the State of California; and that such charges are incurred in the performance of my official duties as a representative or employee of the State of California. OCCUPANCY DATE(S) AMOUNT PAID $ STATE AGENCY NAME JUDICIAL COUNCIL OF CALIFORNIA HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed) I hereby declare under the penalty of perjury that the foregoing statements are true and correct. EXECUTED AT: (City) TRAVELER'S SIGNATURE DATE SIGNED ,CALIFORNIACALIFORNIA END OF ATTACHMENT EXHIBIT H ATTACHMENT #4 XXXXX CIVIL RIGHTS ACT AND

Appears in 1 contract

Samples: Agreement

Disallowance. If the Contractor claims or receives payment for a service or reimbursement that is later disallowed by the Judicial CouncilAOC, the Contractor shall promptly refund the disallowed amount upon the Judicial CouncilAOC's request. At its option, the Judicial Council AOC may offset the amount disallowed from any payment due or that may become due to the Contractor under this Agreement or any other agreement. END OF EXHIBIT Attachment 2 RFP Name: Cow County Judges Institute RFP Nu mber : ASU TD 031 Judicial Council of California, Administrative Office of the Courts Standard Agreement No. @Agreement Number with @Contractor Name EXHIBIT H ATTACHMENTS‌ ATTACHMENTS This exhibit includes the following attachment(s): o Attachment 1, Hotel/Motel Transient Occupancy Tax Waiver o Attachment 2, Contractor’s Audio-Visual Equipment Price List o Attachment 3, Contractor’s Catering Price List END OF EXHIBIT EXHIBIT @EXHIBIT H ATTACHMENT #1‌ @1 STATE OF CALIFORNIA HOTEL/MOTEL TRANSIENT OCCUPANCY TAX WAIVER (EXEMPTION CERTIFICATE FOR STATE AGENCIES)‌ AGENCIES) STD. 236 (NEW 9-91) HOTEL/MOTEL OPERATOR: RETAIN THIS WAIVER FOR YOUR FILES TO SUBSTANTIATE YOUR REPORTS. PARTICIPATION BY OPERATORS IS STRICTLY VOLUNTARY Date Executed: HOTEL / MOTEL NAME TO: HOTEL / MOTEL ADDRESS (Number, Street, City, State, ZIP Code) This is to certify that I, the undersigned traveler, am a representative or employee of the State agency indicated below; that the charges for the occupancy at the above establishment on the dates set forth below have been, or will be paid for by the State of California; and that such charges are incurred in the performance of my official duties as a representative or employee of the State of California. OCCUPANCY DATE(S) AMOUNT PAID $ STATE AGENCY NAME JUDICIAL COUNCIL OF CALIFORNIA HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed) I hereby declare under the penalty of perjury that the foregoing statements are true and correct. EXECUTED AT: (City) TRAVELER'S SIGNATURE DATE SIGNED ,CALIFORNIACALIFORNIA END OF ATTACHMENT

Appears in 1 contract

Samples: Agreement

Disallowance. If the Contractor claims or receives payment for a service or reimbursement that is later disallowed by the Judicial Council, the Contractor shall promptly refund the disallowed amount upon the Judicial Council's request. At its option, the Judicial Council may offset the amount disallowed from any payment due or that may become due to the Contractor under this Agreement or any other agreement. END OF EXHIBIT with @Contractor Name EXHIBIT H ATTACHMENTS‌ This @This exhibit is reserved and, therefore, left blank intentionally. @This exhibit includes the following attachment(s): o Attachment 1@Attachment @1, Hotel/Motel Transient Occupancy Tax Waiver o Attachment 2@Attachment @2, Contractor’s Audio-Visual Equipment Price List o Attachment 3@Attachment @3, Contractor’s Catering Price List END OF EXHIBIT EXHIBIT H ATTACHMENTS‌ @EXHIBIT H ATTACHMENT #1‌ @1‌ STATE OF CALIFORNIA HOTEL/MOTEL TRANSIENT OCCUPANCY TAX WAIVER (EXEMPTION CERTIFICATE FOR STATE AGENCIES)‌ AGENCIES) STD. 236 (NEW 9-91) HOTEL/MOTEL OPERATOR: RETAIN THIS WAIVER FOR YOUR FILES TO SUBSTANTIATE YOUR REPORTS. PARTICIPATION BY OPERATORS IS STRICTLY VOLUNTARY Date Executed: HOTEL / MOTEL NAME TO: HOTEL / MOTEL ADDRESS (Number, Street, City, State, ZIP Code) This is to certify that I, the undersigned traveler, am a representative or employee of the State agency indicated below; that the charges for the occupancy at the above establishment on the dates set forth below have been, or will be paid for by the State of California; and that such charges are incurred in the performance of my official duties as a representative or employee of the State of California. OCCUPANCY DATE(S) AMOUNT PAID $ STATE AGENCY NAME JUDICIAL COUNCIL OF CALIFORNIA HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed) I hereby declare under the penalty of perjury that the foregoing statements are true and correct. EXECUTED AT: (City) TRAVELER'S SIGNATURE DATE SIGNED ,CALIFORNIA

Appears in 1 contract

Samples: Agreement

Disallowance. If the Contractor claims or receives payment for a service or reimbursement that is later disallowed by the Judicial CouncilAOC, the Contractor shall promptly refund the disallowed amount upon the Judicial CouncilAOC's request. At its option, the Judicial Council AOC may offset the amount disallowed from any payment due or that may become due to the Contractor under this Agreement or any other agreement. END OF EXHIBIT Attachment 2 RFP Name: ( insert RFPName) RFP Nu mber: ( INSERT RFP NUMBER) Judicial Council of California, Administrative Office of the Courts Standard Agreement No. @Agreement Number with @Contractor Name EXHIBIT H ATTACHMENTS‌ This exhibit includes the following attachment(s): o Attachment 1@Attachment @1, Hotel/Motel Transient Occupancy Tax Waiver o Attachment 2@Attachment @2, Contractor’s Audio-Visual Equipment Price List o Attachment 3, Contractor’s Catering Price List END OF EXHIBIT EXHIBIT @EXHIBIT H ATTACHMENT #1‌ @1‌ STATE OF CALIFORNIA HOTEL/MOTEL TRANSIENT OCCUPANCY TAX WAIVER (EXEMPTION CERTIFICATE FOR STATE AGENCIES)‌ STD. 236 (NEW 9-91) HOTEL/MOTEL OPERATOR: RETAIN THIS WAIVER FOR YOUR FILES TO SUBSTANTIATE YOUR REPORTS. PARTICIPATION BY OPERATORS IS STRICTLY VOLUNTARY Date Executed: HOTEL / MOTEL NAME TO: HOTEL / MOTEL ADDRESS (Number, Street, City, State, ZIP Code) This is to certify that I, the undersigned traveler, am a representative or employee of the State agency indicated below; that the charges for the occupancy at the above establishment on the dates set forth below have been, or will be paid for by the State of California; and that such charges are incurred in the performance of my official duties as a representative or employee of the State of California. OCCUPANCY DATE(S) AMOUNT PAID $ STATE AGENCY NAME JUDICIAL COUNCIL OF CALIFORNIA HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed) I hereby declare under the penalty of perjury that the foregoing statements are true and correct. EXECUTED AT: (City) TRAVELER'S SIGNATURE DATE SIGNED ,CALIFORNIA

Appears in 1 contract

Samples: Agreement

Disallowance. If the Contractor claims or receives payment for a service or reimbursement that is later disallowed by the Judicial CouncilAOC, the Contractor shall promptly refund the disallowed amount upon the Judicial CouncilAOC's request. At its option, the Judicial Council AOC may offset the amount disallowed from any payment due or that may become due to the Contractor under this Agreement or any other agreement. END OF EXHIBIT Attachment 2 RFP Name: Criminal Assignment Courses RFP Nu mber: ( CRS SP 04 1 Judicial Council of California, Administrative Office of the Courts Standard Agreement No. @Agreement Number with @Contractor Name EXHIBIT H ATTACHMENTS‌ ATTACHMENTS This exhibit includes the following attachment(s): o Attachment 1, Hotel/Motel Transient Occupancy Tax Waiver o Attachment 2, Contractor’s Audio-Visual Equipment Price List o Attachment 3, Contractor’s Catering Price List END OF EXHIBIT EXHIBIT H ATTACHMENT #1‌ 1 STATE OF CALIFORNIA HOTEL/MOTEL TRANSIENT OCCUPANCY TAX WAIVER (EXEMPTION CERTIFICATE FOR STATE AGENCIES)‌ AGENCIES) STD. 236 (NEW 9-91) HOTEL/MOTEL OPERATOR: RETAIN THIS WAIVER FOR YOUR FILES TO SUBSTANTIATE YOUR REPORTS. PARTICIPATION BY OPERATORS IS STRICTLY VOLUNTARY Date Executed: HOTEL / MOTEL NAME TO: HOTEL / MOTEL ADDRESS (Number, Street, City, State, ZIP Code) This is to certify that I, the undersigned traveler, am a representative or employee of the State agency indicated below; that the charges for the occupancy at the above establishment on the dates set forth below have been, or will be paid for by the State of California; and that such charges are incurred in the performance of my official duties as a representative or employee of the State of California. OCCUPANCY DATE(S) AMOUNT PAID $ STATE AGENCY NAME JUDICIAL COUNCIL OF CALIFORNIA HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed) I hereby declare under the penalty of perjury that the foregoing statements are true and correct. EXECUTED AT: (City) TRAVELER'S SIGNATURE DATE SIGNED ,CALIFORNIA

Appears in 1 contract

Samples: Agreement

Disallowance. If the Contractor claims or receives payment for a service or reimbursement that is later disallowed by the Judicial CouncilAOC, the Contractor shall promptly refund the disallowed amount upon the Judicial CouncilAOC's request. At its option, the Judicial Council AOC may offset the amount disallowed from any payment due or that may become due to the Contractor under this Agreement or any other agreement. END OF EXHIBIT Attachment 2 RFP Name: Supervising Judges Institute Roo m Bloc k RFP Nu mber: ASU EG- 00 3 - SS Judicial Council of California, Administrative Office of the Courts Standard Agreement No. @Agreement Number with @Contractor Name EXHIBIT H ATTACHMENTS‌ This exhibit includes the following attachment(s): o Attachment 1@Attachment @1, Hotel/Motel Transient Occupancy Tax Waiver o Attachment 2, Contractor’s Audio-Visual Equipment Price List o Attachment 3, Contractor’s Catering Price List END OF EXHIBIT EXHIBIT @EXHIBIT H ATTACHMENT #1‌ @1‌ STATE OF CALIFORNIA HOTEL/MOTEL TRANSIENT OCCUPANCY TAX WAIVER (EXEMPTION CERTIFICATE FOR STATE AGENCIES)‌ STD. 236 (NEW 9-91) HOTEL/MOTEL OPERATOR: RETAIN THIS WAIVER FOR YOUR FILES TO SUBSTANTIATE YOUR REPORTS. PARTICIPATION BY OPERATORS IS STRICTLY VOLUNTARY Date Executed: HOTEL / MOTEL NAME TO: HOTEL / MOTEL ADDRESS (Number, Street, City, State, ZIP Code) This is to certify that I, the undersigned traveler, am a representative or employee of the State agency indicated below; that the charges for the occupancy at the above establishment on the dates set forth below have been, or will be paid for by the State of California; and that such charges are incurred in the performance of my official duties as a representative or employee of the State of California. OCCUPANCY DATE(S) AMOUNT PAID $ STATE AGENCY NAME JUDICIAL COUNCIL OF CALIFORNIA HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed) I hereby declare under the penalty of perjury that the foregoing statements are true and correct. EXECUTED AT: (City) TRAVELER'S SIGNATURE DATE SIGNED ,CALIFORNIA

Appears in 1 contract

Samples: Agreement

Disallowance. If the Contractor claims or receives payment for a service or reimbursement that is later disallowed by the Judicial CouncilAOC, the Contractor shall promptly refund the disallowed amount upon the Judicial CouncilAOC's request. At its option, the Judicial Council AOC may offset the amount disallowed from any payment due or that may become due to the Contractor under this Agreement or any other agreement. END OF EXHIBIT Standard Agreement No. @Agreement Number with @Contractor Name EXHIBIT H ATTACHMENTS‌ ATTACHMENTS This exhibit is reserved and, therefore, left blank intentionally. This exhibit includes the following attachment(s): o Attachment 1@Attachment @1, Hotel/Motel Transient Occupancy Tax Waiver o Attachment 2, Contractor’s Audio-Visual Equipment Price List o Attachment 3, Contractor’s Catering Price List END OF EXHIBIT EXHIBIT H ATTACHMENT #1‌ 1 STATE OF CALIFORNIA HOTEL/MOTEL TRANSIENT OCCUPANCY TAX WAIVER (EXEMPTION CERTIFICATE FOR STATE AGENCIES)‌ AGENCIES) STD. 236 (NEW 9-91) HOTEL/MOTEL OPERATOR: RETAIN THIS WAIVER FOR YOUR FILES TO SUBSTANTIATE YOUR REPORTS. PARTICIPATION BY OPERATORS IS STRICTLY VOLUNTARY Date Executed: HOTEL / MOTEL NAME TO: HOTEL / MOTEL ADDRESS (Number, Street, City, State, ZIP Code) This is to certify that I, the undersigned traveler, am a representative or employee of the State agency indicated below; that the charges for the occupancy at the above establishment on the dates set forth below have been, or will be paid for by the State of California; and that such charges are incurred in the performance of my official duties as a representative or employee of the State of California. OCCUPANCY DATE(S) AMOUNT PAID $ STATE AGENCY NAME JUDICIAL COUNCIL OF CALIFORNIA HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed) Participants of the Domestic Violence Judicial Institute I hereby declare under the penalty of perjury that the foregoing statements are true and correct. EXECUTED AT: (City) TRAVELER'S SIGNATURE DATE SIGNED ,CALIFORNIA

Appears in 1 contract

Samples: Agreement

Disallowance. If the Contractor claims or receives payment for a service or reimbursement that is later disallowed by the Judicial CouncilAOC, the Contractor shall promptly refund the disallowed amount upon the Judicial CouncilAOC's request. At its option, the Judicial Council AOC may offset the amount disallowed from any payment due or that may become due to the Contractor under this Agreement or any other agreement. END OF EXHIBIT Standard Agreement No. Agreement Number with @Contractor Contractor Name EXHIBIT H ATTACHMENTS‌ ATTACHMENTS This exhibit includes the following attachment(s): o Attachment 1, Hotel/Motel Transient Occupancy Tax Waiver o Attachment 2, Contractor’s Audio-Visual Equipment Price List o Attachment 3, Contractor’s Catering Price List END OF EXHIBIT EXHIBIT @EXHIBIT H ATTACHMENT #1‌ @1 STATE OF CALIFORNIA HOTEL/MOTEL TRANSIENT OCCUPANCY TAX WAIVER (EXEMPTION CERTIFICATE FOR STATE AGENCIES)‌ AGENCIES) STD. 236 (NEW 9-91) HOTEL/MOTEL OPERATOR: RETAIN THIS WAIVER FOR YOUR FILES TO SUBSTANTIATE YOUR REPORTS. PARTICIPATION BY OPERATORS IS STRICTLY VOLUNTARY Date Executed: HOTEL / MOTEL NAME TO: HOTEL / MOTEL ADDRESS (Number, Street, City, State, ZIP Code) This is to certify that I, the undersigned traveler, am a representative or employee of the State agency indicated below; that the charges for the occupancy at the above establishment on the dates set forth below have been, or will be paid for by the State of California; and that such charges are incurred in the performance of my official duties as a representative or employee of the State of California. OCCUPANCY DATE(S) AMOUNT PAID $ STATE AGENCY NAME JUDICIAL COUNCIL OF CALIFORNIA HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed) I hereby declare under the penalty of perjury that the foregoing statements are true and correct. EXECUTED AT: (City) TRAVELER'S SIGNATURE DATE SIGNED ,CALIFORNIA

Appears in 1 contract

Samples: Agreement

Disallowance. If the Contractor claims or receives payment for a service or reimbursement that is later disallowed by the Judicial Council, the Contractor shall promptly refund the disallowed amount upon the Judicial Council's request. At its option, the Judicial Council may offset the amount disallowed from any payment due or that may become due to the Contractor under this Agreement or any other agreement. END OF EXHIBIT with @Contractor Contractor Name EXHIBIT H ATTACHMENTS‌ ATTACHMENTS This exhibit includes the following attachment(s): o Attachment 1, Hotel/Motel Transient Occupancy Tax Waiver o Attachment 2, Contractor’s Audio-Visual Equipment Price List o Attachment 3, Contractor’s Catering Price List END OF EXHIBIT EXHIBIT H ATTACHMENT #1‌ 1 STATE OF CALIFORNIA HOTEL/MOTEL TRANSIENT OCCUPANCY TAX WAIVER (EXEMPTION CERTIFICATE FOR STATE AGENCIES)‌ AGENCIES) STD. 236 (NEW 9-91) HOTEL/MOTEL OPERATOR: RETAIN THIS WAIVER FOR YOUR FILES TO SUBSTANTIATE YOUR REPORTS. PARTICIPATION BY OPERATORS IS STRICTLY VOLUNTARY Date Executed: HOTEL / MOTEL NAME TO: HOTEL / MOTEL ADDRESS (Number, Street, City, State, ZIP Code) This is to certify that I, the undersigned traveler, am a representative or employee of the State agency indicated below; that the charges for the occupancy at the above establishment on the dates set forth below have been, or will be paid for by the State of California; and that such charges are incurred in the performance of my official duties as a representative or employee of the State of California. OCCUPANCY DATE(S) AMOUNT PAID $ STATE AGENCY NAME JUDICIAL COUNCIL OF CALIFORNIA HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed) I hereby declare under the penalty of perjury that the foregoing statements are true and correct. EXECUTED AT: (City) TRAVELER'S SIGNATURE DATE SIGNED ,CALIFORNIA

Appears in 1 contract

Samples: Agreement

Disallowance. If the Contractor claims or receives payment for a service or reimbursement that is later disallowed by the Judicial Council, the Contractor shall promptly refund the disallowed amount upon the Judicial Council's request. At its option, the Judicial Council may offset the amount disallowed from any payment due or that may become due to the Contractor under this Agreement or any other agreement. END OF EXHIBIT with @Contractor Name EXHIBIT H ATTACHMENTS‌ This exhibit includes the following attachment(s): o Attachment 1, Hotel/Motel Transient Occupancy Tax Waiver o Attachment 2, Contractor’s Audio-Visual Equipment Price List o Attachment 3, Contractor’s Catering Price List END OF EXHIBIT EXHIBIT H ATTACHMENT #1‌ STATE OF CALIFORNIA HOTEL/MOTEL TRANSIENT OCCUPANCY TAX WAIVER (EXEMPTION CERTIFICATE FOR STATE AGENCIES)‌ STD. 236 (NEW 9-91) HOTEL/MOTEL OPERATOR: RETAIN THIS WAIVER FOR YOUR FILES TO SUBSTANTIATE YOUR REPORTS. PARTICIPATION BY OPERATORS IS STRICTLY VOLUNTARY Date Executed: HOTEL / MOTEL NAME TO: HOTEL / MOTEL ADDRESS (Number, Street, City, State, ZIP Code) This is to certify that I, the undersigned traveler, am a representative or employee of the State agency indicated below; that the charges for the occupancy at the above establishment on the dates set forth below have been, or will be paid for by the State of California; and that such charges are incurred in the performance of my official duties as a representative or employee of the State of California. OCCUPANCY DATE(S) AMOUNT PAID $ STATE AGENCY NAME JUDICIAL COUNCIL OF CALIFORNIA HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed) I hereby declare under the penalty of perjury that the foregoing statements are true and correct. EXECUTED AT: (City) TRAVELER'S SIGNATURE DATE SIGNED ,CALIFORNIACALIFORNIA END OF ATTACHMENT

Appears in 1 contract

Samples: Agreement

Disallowance. If the Contractor claims or receives payment for a service or reimbursement that is later disallowed by the Judicial Council, the Contractor shall promptly refund the disallowed amount upon the Judicial CouncilCouncil 's request. At its option, the Judicial Council may offset the amount disallowed from any payment due or that may become due to the Contractor under this Agreement or any other agreement. END OF EXHIBIT Attachment 2 RFP Title: Appellate Judicial Attorneys Institute RFP Number: CRS SP 106 Judicial Council of California Standard Agreement No. @Agreement Number with @Contractor Name EXHIBIT H ATTACHMENTS‌ ATTACHMENTS This exhibit includes the following attachment(s): o Attachment 1, Hotel/Motel Transient Occupancy Tax Waiver o Attachment 2, Contractor’s Audio-Visual Equipment Price List o Attachment 3, Contractor’s Catering Price List END OF EXHIBIT EXHIBIT H ATTACHMENT #1‌ 1 STATE OF CALIFORNIA HOTEL/MOTEL TRANSIENT OCCUPANCY TAX WAIVER (EXEMPTION CERTIFICATE FOR STATE AGENCIES)‌ AGENCIES) STD. 236 (NEW 9-91) HOTEL/MOTEL OPERATOR: RETAIN THIS WAIVER FOR YOUR FILES TO SUBSTANTIATE YOUR REPORTS. PARTICIPATION BY OPERATORS IS STRICTLY VOLUNTARY Date Executed: HOTEL / MOTEL NAME TO: HOTEL / MOTEL ADDRESS (Number, Street, City, State, ZIP Code) This is to certify that I, the undersigned traveler, am a representative or employee of the State agency indicated below; that the charges for the occupancy at the above establishment on the dates set forth below have been, or will be paid for by the State of California; and that such charges are incurred in the performance of my official duties as a representative or employee of the State of California. OCCUPANCY DATE(S) AMOUNT PAID $ STATE AGENCY NAME JUDICIAL COUNCIL OF CALIFORNIA HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed) I hereby declare under the penalty of perjury that the foregoing statements are true and correct. EXECUTED AT: (City) TRAVELER'S SIGNATURE DATE SIGNED ,CALIFORNIA

Appears in 1 contract

Samples: Agreement

Disallowance. If the Contractor claims or receives payment for a service or reimbursement that is later disallowed by the Judicial CouncilAOC, the Contractor shall promptly refund the disallowed amount upon the Judicial CouncilAOC's request. At its option, the Judicial Council AOC may offset the amount disallowed from any payment due or that may become due to the Contractor under this Agreement or any other agreement. END OF EXHIBIT Standard Agreement No. @Agreement Number with @Contractor Name EXHIBIT H ATTACHMENTS‌ ATTACHMENTS This exhibit includes the following attachment(s): o Attachment 1, Hotel/Motel Transient Occupancy Tax Waiver o Attachment 2, Contractor’s Audio-Visual Equipment Price List o Attachment 3, Contractor’s Catering Price List END OF EXHIBIT EXHIBIT H ATTACHMENT #1‌ 1 STATE OF CALIFORNIA HOTEL/MOTEL TRANSIENT OCCUPANCY TAX WAIVER (EXEMPTION CERTIFICATE FOR STATE AGENCIES)‌ AGENCIES) STD. 236 (NEW 9-91) HOTEL/MOTEL OPERATOR: RETAIN THIS WAIVER FOR YOUR FILES TO SUBSTANTIATE YOUR REPORTS. PARTICIPATION BY OPERATORS IS STRICTLY VOLUNTARY Date Executed: HOTEL / MOTEL NAME TO: HOTEL / MOTEL ADDRESS (Number, Street, City, State, ZIP Code) This is to certify that I, the undersigned traveler, am a representative or employee of the State agency indicated below; that the charges for the occupancy at the above establishment on the dates set forth below have been, or will be paid for by the State of California; and that such charges are incurred in the performance of my official duties as a representative or employee of the State of California. OCCUPANCY DATE(S) AMOUNT PAID _$ STATE AGENCY NAME JUDICIAL COUNCIL OF CALIFORNIA HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed) I hereby declare under the penalty of perjury that the foregoing statements are true and correct. EXECUTED AT: (City) TRAVELER'S SIGNATURE DATE SIGNED ,CALIFORNIA

Appears in 1 contract

Samples: Agreement

Disallowance. If the Contractor claims or receives payment for a service or reimbursement that is later disallowed by the Judicial CouncilAOC, the Contractor shall promptly refund the disallowed amount upon the Judicial CouncilAOC's request. At its option, the Judicial Council AOC may offset the amount disallowed from any payment due or that may become due to the Contractor under this Agreement or any other agreement. END OF EXHIBIT Attachment 2 RFP Name: ( insert RFPName) RFP Nu mber: ( INSERT RFP NUMBER) Judicial Council of California, Administrative Office of the Courts Standard Agreement No. @Agreement Number with @Contractor Name EXHIBIT H ATTACHMENTS‌ This @This exhibit is reserved and, therefore, left blank intentionally. @This exhibit includes the following attachment(s): o Attachment 1@Attachment @1, Hotel/Motel Transient Occupancy Tax Waiver o Attachment 2@Attachment @2, Contractor’s Audio-Visual Equipment Price List o Attachment 3@Attachment @3, Contractor’s Catering Price List END OF EXHIBIT EXHIBIT @EXHIBIT H ATTACHMENT #1‌ @1‌ STATE OF CALIFORNIA HOTEL/MOTEL TRANSIENT OCCUPANCY TAX WAIVER (EXEMPTION CERTIFICATE FOR STATE AGENCIES)‌ STD. 236 (NEW 9-91) HOTEL/MOTEL OPERATOR: RETAIN THIS WAIVER FOR YOUR FILES TO SUBSTANTIATE YOUR REPORTS. PARTICIPATION BY OPERATORS IS STRICTLY VOLUNTARY Date Executed: HOTEL / MOTEL NAME TO: HOTEL / MOTEL ADDRESS (Number, Street, City, State, ZIP Code) This is to certify that I, the undersigned traveler, am a representative or employee of the State agency indicated below; that the charges for the occupancy at the above establishment on the dates set forth below have been, or will be paid for by the State of California; and that such charges are incurred in the performance of my official duties as a representative or employee of the State of California. OCCUPANCY DATE(S) AMOUNT PAID $ STATE AGENCY NAME JUDICIAL COUNCIL OF CALIFORNIA HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed) I hereby declare under the penalty of perjury that the foregoing statements are true and correct. EXECUTED AT: (City) TRAVELER'S SIGNATURE DATE SIGNED ,CALIFORNIA

Appears in 1 contract

Samples: Agreement

Disallowance. If the Contractor claims or receives payment for a service or reimbursement that is later disallowed by the Judicial CouncilAOC, the Contractor shall promptly refund the disallowed amount upon the Judicial CouncilAOC's request. At its option, the Judicial Council AOC may offset the amount disallowed from any payment due or that may become due to the Contractor under this Agreement or any other agreement. END OF EXHIBIT Attachment 2 RFP Name: Court Clerks Training Institute Roo m Blocks RFP Nu mber: ASU TD 028 Judicial Council of California, Administrative Office of the Courts Standard Agreement No. @Agreement Number with @Contractor Name EXHIBIT H ATTACHMENTS‌ ATTACHMENTS This exhibit includes the following attachment(s): o Attachment 1, Hotel/Motel Transient Occupancy Tax Waiver o Attachment 2, Contractor’s Audio-Visual Equipment Price List o Attachment 3, Contractor’s Catering Price List END OF EXHIBIT EXHIBIT @EXHIBIT H ATTACHMENT #1‌ @1 STATE OF CALIFORNIA HOTEL/MOTEL TRANSIENT OCCUPANCY TAX WAIVER (EXEMPTION CERTIFICATE FOR STATE AGENCIES)‌ AGENCIES) STD. 236 (NEW 9-91) HOTEL/MOTEL OPERATOR: RETAIN THIS WAIVER FOR YOUR FILES TO SUBSTANTIATE YOUR REPORTS. PARTICIPATION BY OPERATORS IS STRICTLY VOLUNTARY Date Executed: HOTEL / MOTEL NAME TO: HOTEL / MOTEL ADDRESS (Number, Street, City, State, ZIP Code) This is to certify that I, the undersigned traveler, am a representative or employee of the State agency indicated below; that the charges for the occupancy at the above establishment on the dates set forth below have been, or will be paid for by the State of California; and that such charges are incurred in the performance of my official duties as a representative or employee of the State of California. OCCUPANCY DATE(S) AMOUNT PAID $ STATE AGENCY NAME JUDICIAL COUNCIL OF CALIFORNIA HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed) I hereby declare under the penalty of perjury that the foregoing statements are true and correct. EXECUTED AT: (City) TRAVELER'S SIGNATURE DATE SIGNED ,CALIFORNIA

Appears in 1 contract

Samples: Agreement

Disallowance. If the Contractor claims or receives payment for a service or reimbursement that is later disallowed by the Judicial Council, the Contractor shall promptly refund the disallowed amount upon the Judicial CouncilCouncil 's request. At its option, the Judicial Council may offset the amount disallowed from any payment due or that may become due to the Contractor under this Agreement or any other agreement. END OF EXHIBIT Attachment 2 RFP Title: Probate and Mental Health Institute RFP Number: CRS SP 137 Judicial Council of California Standard Agreement No. @Agreement Number with @Contractor Name EXHIBIT H ATTACHMENTS‌ ATTACHMENTS This exhibit includes the following attachment(s): o Attachment 1, Hotel/Motel Transient Occupancy Tax Waiver o Attachment 2, Contractor’s Audio-Visual Equipment Price List o Attachment 3, Contractor’s Catering Price List END OF EXHIBIT EXHIBIT H ATTACHMENT #1‌ 1 STATE OF CALIFORNIA HOTEL/MOTEL TRANSIENT OCCUPANCY TAX WAIVER (EXEMPTION CERTIFICATE FOR STATE AGENCIES)‌ AGENCIES) STD. 236 (NEW 9-91) HOTEL/MOTEL OPERATOR: RETAIN THIS WAIVER FOR YOUR FILES TO SUBSTANTIATE YOUR REPORTS. PARTICIPATION BY OPERATORS IS STRICTLY VOLUNTARY Date Executed: HOTEL / MOTEL NAME TO: HOTEL / MOTEL ADDRESS (Number, Street, City, State, ZIP Code) This is to certify that I, the undersigned traveler, am a representative or employee of the State agency indicated below; that the charges for the occupancy at the above establishment on the dates set forth below have been, or will be paid for by the State of California; and that such charges are incurred in the performance of my official duties as a representative or employee of the State of California. OCCUPANCY DATE(S) AMOUNT PAID $ STATE AGENCY NAME JUDICIAL COUNCIL OF CALIFORNIA HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed) I hereby declare under the penalty of perjury that the foregoing statements are true and correct. EXECUTED AT: (City) TRAVELER'S SIGNATURE DATE SIGNED ,CALIFORNIA

Appears in 1 contract

Samples: Agreement

Disallowance. If the Contractor claims or receives payment for a service or reimbursement that is later disallowed by the Judicial Council, the Contractor shall promptly refund the disallowed amount upon the Judicial Council's request. At its option, the Judicial Council may offset the amount disallowed from any payment due or that may become due to the Contractor under this Agreement or any other agreement. END OF EXHIBIT with @Contractor Name EXHIBIT H ATTACHMENTS‌ This exhibit includes the following attachment(s): o Attachment 1, Hotel/Motel Transient Occupancy Tax Waiver o Attachment 24, Contractor’s Audio-Visual Equipment Price List o Attachment 3, Contractor’s Catering Price List Xxxxx Civil Rights Act and California Fair Employment and Housing Act Certification END OF EXHIBIT EXHIBIT H ATTACHMENT #1‌ STATE OF CALIFORNIA HOTEL/MOTEL TRANSIENT OCCUPANCY TAX WAIVER (EXEMPTION CERTIFICATE FOR STATE AGENCIES)‌ STD. 236 (NEW 9-91) HOTEL/MOTEL OPERATOR: RETAIN THIS WAIVER FOR YOUR FILES TO SUBSTANTIATE YOUR REPORTS. PARTICIPATION BY OPERATORS IS STRICTLY VOLUNTARY Date Executed: HOTEL / MOTEL NAME TO: HOTEL / MOTEL ADDRESS (Number, Street, City, State, ZIP Code) This is to certify that I, the undersigned traveler, am a representative or employee of the State agency indicated below; that the charges for the occupancy at the above establishment on the dates set forth below have been, or will be paid for by the State of California; and that such charges are incurred in the performance of my official duties as a representative or employee of the State of California. OCCUPANCY DATE(S) AMOUNT PAID $ STATE AGENCY NAME JUDICIAL COUNCIL OF CALIFORNIA HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed) I hereby declare under the penalty of perjury that the foregoing statements are true and correct. EXECUTED AT: (City) TRAVELER'S SIGNATURE DATE SIGNED ,CALIFORNIACALIFORNIA END OF ATTACHMENT @EXHIBIT H ATTACHMENT #@4 XXXXX CIVIL RIGHTS ACT AND

Appears in 1 contract

Samples: Agreement

Disallowance. If the Contractor claims or receives payment for a service or reimbursement that is later disallowed by the Judicial CouncilAOC, the Contractor shall promptly refund the disallowed amount upon the Judicial CouncilAOC's request. At its option, the Judicial Council AOC may offset the amount disallowed from any payment due or that may become due to the Contractor under this Agreement or any other agreement. END OF EXHIBIT Attachment 2 RFP Name: Fa mily Law Education Progra m ( FLEP) RFP Nu mber: CRSAU 032 Judicial Council of California, Administrative Office of the Courts Standard Agreement No. @Agreement Number with @Contractor Name EXHIBIT H ATTACHMENTS‌ This ATTACHMENTS @This exhibit is reserved and, therefore, left blank intentionally. @This exhibit includes the following attachment(s): o Attachment 1@Attachment @1, Hotel/Motel Transient Occupancy Tax Waiver o Attachment 2@Attachment @2, Contractor’s Audio-Visual Equipment Price List o Attachment 3, Contractor’s Catering Price List END OF EXHIBIT EXHIBIT @EXHIBIT H ATTACHMENT #1‌ @1 STATE OF CALIFORNIA HOTEL/MOTEL TRANSIENT OCCUPANCY TAX WAIVER (EXEMPTION CERTIFICATE FOR STATE AGENCIES)‌ AGENCIES) STD. 236 (NEW 9-91) HOTEL/MOTEL OPERATOR: RETAIN THIS WAIVER FOR YOUR FILES TO SUBSTANTIATE YOUR REPORTS. PARTICIPATION BY OPERATORS IS STRICTLY VOLUNTARY Date Executed: HOTEL / MOTEL NAME TO: HOTEL / MOTEL ADDRESS (Number, Street, City, State, ZIP Code) This is to certify that I, the undersigned traveler, am a representative or employee of the State agency indicated below; that the charges for the occupancy at the above establishment on the dates set forth below have been, or will be paid for by the State of California; and that such charges are incurred in the performance of my official duties as a representative or employee of the State of California. OCCUPANCY DATE(S) AMOUNT PAID $ STATE AGENCY NAME JUDICIAL COUNCIL OF CALIFORNIA HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed) I hereby declare under the penalty of perjury that the foregoing statements are true and correct. EXECUTED AT: (City) TRAVELER'S SIGNATURE DATE SIGNED ,CALIFORNIA

Appears in 1 contract

Samples: Agreement

Disallowance. If the Contractor claims or receives payment for a service or reimbursement that is later disallowed by the Judicial Council, the Contractor shall promptly refund the disallowed amount upon the Judicial Council's request. At its option, the Judicial Council may offset the amount disallowed from any payment due or that may become due to the Contractor under this Agreement or any other agreement. END OF EXHIBIT with @Contractor Name EXHIBIT H ATTACHMENTS‌ This exhibit includes the following attachment(s): o Attachment 1@Attachment @1, Hotel/Motel Transient Occupancy Tax Waiver o Attachment 2@Attachment @2, Contractor’s Audio-Visual Equipment Price List o Attachment 3, Contractor’s Catering Price List END OF EXHIBIT EXHIBIT @EXHIBIT H ATTACHMENT #1‌ @1‌ STATE OF CALIFORNIA HOTEL/MOTEL TRANSIENT OCCUPANCY TAX WAIVER (EXEMPTION CERTIFICATE FOR STATE AGENCIES)‌ STD. 236 (NEW 9-91) HOTEL/MOTEL OPERATOR: RETAIN THIS WAIVER FOR YOUR FILES TO SUBSTANTIATE YOUR REPORTS. PARTICIPATION BY OPERATORS IS STRICTLY VOLUNTARY Date Executed: HOTEL / MOTEL NAME TO: HOTEL / MOTEL ADDRESS (Number, Street, City, State, ZIP Code) This is to certify that I, the undersigned traveler, am a representative or employee of the State agency indicated below; that the charges for the occupancy at the above establishment on the dates set forth below have been, or will be paid for by the State of California; and that such charges are incurred in the performance of my official duties as a representative or employee of the State of California. OCCUPANCY DATE(S) AMOUNT PAID $ STATE AGENCY NAME JUDICIAL COUNCIL OF CALIFORNIA HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed) I hereby declare under the penalty of perjury that the foregoing statements are true and correct. EXECUTED AT: (City) TRAVELER'S SIGNATURE DATE SIGNED ,CALIFORNIA

Appears in 1 contract

Samples: Agreement

Disallowance. If the Contractor claims or receives payment for a service or reimbursement that is later disallowed by the Judicial CouncilAOC, the Contractor shall promptly refund the disallowed amount upon the Judicial CouncilAOC's request. At its option, the Judicial Council AOC may offset the amount disallowed from any payment due or that may become due to the Contractor under this Agreement or any other agreement. END OF EXHIBIT Attachment 2 RFP Name: Court Clerks Training Institute September RFP Number: ASU TD 016 Judicial Council of California, Administrative Office of the Courts Standard Agreement No. @Agreement Number with @Contractor Name EXHIBIT H ATTACHMENTS‌ ATTACHMENTS This exhibit includes the following attachment(s): o Attachment 1, Hotel/Motel Transient Occupancy Tax Waiver o Attachment 2, Contractor’s Audio-Visual Equipment Price List o Attachment 3, Contractor’s Catering Price List END OF EXHIBIT EXHIBIT @EXHIBIT H ATTACHMENT #1‌ @1 STATE OF CALIFORNIA HOTEL/MOTEL TRANSIENT OCCUPANCY TAX WAIVER (EXEMPTION CERTIFICATE FOR STATE AGENCIES)‌ AGENCIES) STD. 236 (NEW 9-91) HOTEL/MOTEL OPERATOR: RETAIN THIS WAIVER FOR YOUR FILES TO SUBSTANTIATE YOUR REPORTS. PARTICIPATION BY OPERATORS IS STRICTLY VOLUNTARY Date Executed: HOTEL / MOTEL NAME TO: HOTEL / MOTEL ADDRESS (Number, Street, City, State, ZIP Code) This is to certify that I, the undersigned traveler, am a representative or employee of the State agency indicated below; that the charges for the occupancy at the above establishment on the dates set forth below have been, or will be paid for by the State of California; and that such charges are incurred in the performance of my official duties as a representative or employee of the State of California. OCCUPANCY DATE(S) AMOUNT PAID $ STATE AGENCY NAME JUDICIAL COUNCIL OF CALIFORNIA HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed) I hereby declare under the penalty of perjury that the foregoing statements are true and correct. EXECUTED AT: (City) TRAVELER'S SIGNATURE DATE SIGNED ,CALIFORNIA

Appears in 1 contract

Samples: Services Agreement

Disallowance. If the Contractor claims or receives payment for a service or reimbursement that is later disallowed by the Judicial Council, the Contractor shall promptly refund the disallowed amount upon the Judicial Council's request. At its option, the Judicial Council may offset the amount disallowed from any payment due or that may become due to the Contractor under this Agreement or any other agreement. END OF EXHIBIT with @Contractor Contractor Name EXHIBIT H ATTACHMENTS‌ This exhibit includes the following attachment(s): o Attachment 1, Hotel/Motel Transient Occupancy Tax Waiver o Attachment 2, Contractor’s Audio-Visual Equipment Price List o Attachment 3, Contractor’s Catering Price List END OF EXHIBIT EXHIBIT H ATTACHMENT #1‌ STATE OF CALIFORNIA HOTEL/MOTEL TRANSIENT OCCUPANCY TAX WAIVER (EXEMPTION CERTIFICATE FOR STATE AGENCIES)‌ STD. 236 (NEW 9-91) HOTEL/MOTEL OPERATOR: RETAIN THIS WAIVER FOR YOUR FILES TO SUBSTANTIATE YOUR REPORTS. PARTICIPATION BY OPERATORS IS STRICTLY VOLUNTARY Date Executed: HOTEL / MOTEL NAME TO: HOTEL / MOTEL ADDRESS (Number, Street, City, State, ZIP Code) This is to certify that I, the undersigned traveler, am a representative or employee of the State agency indicated below; that the charges for the occupancy at the above establishment on the dates set forth below have been, or will be paid for by the State of California; and that such charges are incurred in the performance of my official duties as a representative or employee of the State of California. OCCUPANCY DATE(S) AMOUNT PAID $ STATE AGENCY NAME JUDICIAL COUNCIL OF CALIFORNIA HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed) I hereby declare under the penalty of perjury that the foregoing statements are true and correct. EXECUTED AT: (City) TRAVELER'S SIGNATURE DATE SIGNED ,CALIFORNIACALIFORNIA END OF ATTACHMENT @EXHIBIT H ATTACHMENT #@4 XXXXX CIVIL RIGHTS ACT AND

Appears in 1 contract

Samples: Agreement

Disallowance. If the Contractor claims or receives payment for a service or reimbursement that is later disallowed by the Judicial Council, the Contractor shall promptly refund the disallowed amount upon the Judicial CouncilCouncil 's request. At its option, the Judicial Council may offset the amount disallowed from any payment due or that may become due to the Contractor under this Agreement or any other agreement. END OF EXHIBIT with @Contractor Contractor Name EXHIBIT H ATTACHMENTS‌ ATTACHMENTS This exhibit includes the following attachment(s): o Attachment 1, Hotel/Motel Transient Occupancy Tax Waiver o Attachment 2, Contractor’s Audio-Visual Equipment Price List o Attachment 3, Contractor’s Catering Price List END OF EXHIBIT EXHIBIT @EXHIBIT H ATTACHMENT #1‌ @1 STATE OF CALIFORNIA HOTEL/MOTEL TRANSIENT OCCUPANCY TAX WAIVER (EXEMPTION CERTIFICATE FOR STATE AGENCIES)‌ AGENCIES) STD. 236 (NEW 9-91) HOTEL/MOTEL OPERATOR: RETAIN THIS WAIVER FOR YOUR FILES TO SUBSTANTIATE YOUR REPORTS. PARTICIPATION BY OPERATORS IS STRICTLY VOLUNTARY Date Executed: HOTEL / MOTEL NAME TO: HOTEL / MOTEL ADDRESS (Number, Street, City, State, ZIP Code) This is to certify that I, the undersigned traveler, am a representative or employee of the State agency indicated below; that the charges for the occupancy at the above establishment on the dates set forth below have been, or will be paid for by the State of California; and that such charges are incurred in the performance of my official duties as a representative or employee of the State of California. OCCUPANCY DATE(S) AMOUNT PAID $ STATE AGENCY NAME JUDICIAL COUNCIL OF CALIFORNIA HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed) I hereby declare under the penalty of perjury that the foregoing statements are true and correct. EXECUTED AT: (City) TRAVELER'S SIGNATURE DATE SIGNED ,CALIFORNIA

Appears in 1 contract

Samples: Agreement

Disallowance. Sample If the Contractor claims or receives payment for a service or reimbursement that is later disallowed by the Judicial Council, the Contractor shall promptly refund the disallowed amount upon the Judicial Council's request. At its option, the Judicial Council may offset the amount disallowed from any payment due or that may become due to the Contractor under this Agreement or any other agreement. END OF EXHIBIT with @Contractor Name EXHIBIT H ATTACHMENTS‌ This exhibit includes the following attachment(s): o Attachment 1@Attachment @1, Hotel/Motel Transient Occupancy Tax Waiver o Attachment 2@Attachment @2, Contractor’s Audio-Visual Equipment Price List o Attachment 3@Attachment @3, Contractor’s Catering Price List Sample o @Attachment @4, Xxxxx Civil Rights Act and California Fair Employment and Housing Act Certification END OF EXHIBIT EXHIBIT @EXHIBIT H ATTACHMENT #1‌ @1‌ STATE OF CALIFORNIA HOTEL/MOTEL TRANSIENT OCCUPANCY TAX WAIVER (EXEMPTION CERTIFICATE FOR STATE AGENCIES)‌ AGENCIES) STD. 236 (NEW 9-91) HOTEL/MOTEL OPERATOR: RETAIN THIS WAIVER FOR YOUR FILES TO SUBSTANTIATE YOUR REPORTS. PARTICIPATION BY OPERATORS IS STRICTLY VOLUNTARY Date Executed: HOTEL / MOTEL NAME TO: HOTEL / MOTEL ADDRESS (Number, Street, City, State, ZIP Code) Sample This is to certify that I, the undersigned traveler, am a representative or employee of the State agency indicated below; that the charges for the occupancy at the above establishment on the dates set forth below have been, or will be paid for by the State of California; and that such charges are incurred in the performance of my official duties as a representative or employee of the State of California. OCCUPANCY DATE(S) AMOUNT PAID $ STATE AGENCY NAME JUDICIAL COUNCIL OF CALIFORNIA HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed) I hereby declare under the penalty of perjury that the foregoing statements are true and correct. EXECUTED AT: (City) TRAVELER'S SIGNATURE DATE SIGNED ,CALIFORNIACALIFORNIA END OF ATTACHMENT EXHIBIT H ATTACHMENT #3 Sample Menu Sample

Appears in 1 contract

Samples: Agreement

Disallowance. If the Contractor claims or receives payment for a service or reimbursement that is later disallowed by the Judicial Council, the Contractor shall promptly refund the disallowed amount upon the Judicial Council's request. At its option, the Judicial Council may offset the amount disallowed from any payment due or that may become due to the Contractor under this Agreement or any other agreement. END OF EXHIBIT with @Contractor Name EXHIBIT H ATTACHMENTS‌ This exhibit includes the following attachment(s): o Attachment @Attachment 1, Hotel/Motel Transient Occupancy Tax Waiver o Attachment @Attachment 2, Contractor’s Audio-Visual Equipment Price List o Attachment @Attachment 3, Contractor’s Catering Price List o @Attachment 4, Xxxxx Civil Rights Act and California Fair Employment and Housing Act Certification END OF EXHIBIT EXHIBIT @EXHIBIT H ATTACHMENT #1‌ STATE OF CALIFORNIA HOTEL/MOTEL TRANSIENT OCCUPANCY TAX WAIVER (EXEMPTION CERTIFICATE FOR STATE AGENCIES)‌ STD. 236 (NEW 9-91) HOTEL/MOTEL OPERATOR: RETAIN THIS WAIVER FOR YOUR FILES TO SUBSTANTIATE YOUR REPORTS. PARTICIPATION BY OPERATORS IS STRICTLY VOLUNTARY Date Executed: HOTEL / MOTEL NAME TO: HOTEL / MOTEL ADDRESS (Number, Street, City, State, ZIP Code) This is to certify that I, the undersigned traveler, am a representative or employee of the State agency indicated below; that the charges for the occupancy at the above establishment on the dates set forth below have been, or will be paid for by the State of California; and that such charges are incurred in the performance of my official duties as a representative or employee of the State of California. OCCUPANCY DATE(S) AMOUNT PAID $ STATE AGENCY NAME JUDICIAL COUNCIL OF CALIFORNIA HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed) I hereby declare under the penalty of perjury that the foregoing statements are true and correct. EXECUTED AT: (City) TRAVELER'S SIGNATURE DATE SIGNED ,CALIFORNIACALIFORNIA END OF ATTACHMENT @EXHIBIT H ATTACHMENT #4 XXXXX CIVIL RIGHTS ACT AND

Appears in 1 contract

Samples: Agreement

Disallowance. If the Contractor claims or receives payment for a service or reimbursement that is later disallowed by the Judicial Council, the Contractor shall promptly refund the disallowed amount upon the Judicial Council's request. At its option, the Judicial Council may offset the amount disallowed from any payment due or that may become due to the Contractor under this Agreement or any other agreement. END OF EXHIBIT with @Contractor Name EXHIBIT H ATTACHMENTS‌ ATTACHMENTS [Choose Option one OR Option two:] [Option one - If attachments are not part of the agreement at this time, but may be eventually, delete all of Option two, as set forth below, and insert the following:] [Option two – If attachments are part of the agreement, delete all of Option one, above, and provide contract specialist with t identified attachments for incorporation into this exhibit. Attachments are optional, but may be consist of the following: Attachment XX, Contractor’s Catering Price List (if required per Exhibit E); Attachment YY, Contractor’s Audio-Visual Equipment Price List (if required per Exhibit F); and, Attachment ZZ, Hotel/Motel Transient Occupancy Tax Waiver (if required per Exhibit C). The attachments can be listed on this page, if desired, and should be provided to contract specialist in an electronic format – revised 3/28/06.] This exhibit includes the following attachment(s): o Attachment 1, Hotel/Motel Transient Occupancy Tax Waiver o Attachment 2, Contractor’s Audio-Visual Equipment Price List o Attachment 3, Contractor’s Catering Price List END OF EXHIBIT EXHIBIT H [If Sleeping Room provision in Exhibit C includes option of tax waiver, then this optional form is to be incorporated into the agreement as an attachment. Note, per the Sleeping Room provision in Exhibit C, that the form is incorporated already signed; insert appropriate attachment number below and in footer, sign, scan, and provide in electronic format to contract specialist –revised 3/28/06:] ATTACHMENT #1‌ 1 STATE OF CALIFORNIA HOTEL/MOTEL TRANSIENT OCCUPANCY TAX WAIVER (EXEMPTION CERTIFICATE FOR STATE AGENCIES)‌ AGENCIES) STD. 236 (NEW 9-91) HOTEL/MOTEL OPERATOR: RETAIN THIS WAIVER FOR YOUR FILES TO SUBSTANTIATE YOUR REPORTS. PARTICIPATION BY OPERATORS IS STRICTLY VOLUNTARY Date Executed: HOTEL / MOTEL NAME TO: ___________________________________________________________ HOTEL / MOTEL ADDRESS (Number, Street, City, State, ZIP Code) _________________________________________________________________________________________________________________________________ This is to certify that I, the undersigned traveler, am a representative or employee of the State agency indicated below; that the charges for the occupancy at the above establishment on the dates set forth below have been, or will be paid for by the State of California; and that such charges are incurred in the performance of my official duties as a representative or employee of the State of California. ____________________________________________________________________________________________________________ OCCUPANCY DATE(S) AMOUNT PAID $ _____________________________________________________________________$_________________ STATE AGENCY NAME JUDICIAL COUNCIL OF CALIFORNIA ____________________________________________________________________________________________________________ HEADQUARTERS ADDRESS ____________________________________________________________________________________________________________ TRAVELER'S NAME (Printed or Typed) ____________________________________________________________________________________________________________ I hereby declare under the penalty of perjury that the foregoing statements are true and correct. _________________________________________________________________________________________________________________________________ EXECUTED AT: (City) TRAVELER'S SIGNATURE DATE SIGNED ,CALIFORNIA

Appears in 1 contract

Samples: Standard Agreement

Disallowance. If the Contractor claims or receives payment for a service or reimbursement that is later disallowed by the Judicial CouncilAOC, the Contractor shall promptly refund the disallowed amount upon the Judicial CouncilAOC's request. At its option, the Judicial Council AOC may offset the amount disallowed from any payment due or that may become due to the Contractor under this Agreement or any other agreement. END OF EXHIBIT Attachment 2 RFP Name: ( insert RFP title) RFP Nu mber: (insert RFP title) Judicial Council of California, Administrative Office of the Courts Standard Agreement No. @Agreement Number with @Contractor Name EXHIBIT H ATTACHMENTS‌ This exhibit includes the following attachment(s): o Attachment 1@Attachment @1, Hotel/Motel Transient Occupancy Tax Waiver o Attachment 2, Contractor’s Audio-Visual Equipment Price List o Attachment 3, Contractor’s Catering Price List END OF EXHIBIT EXHIBIT @EXHIBIT H ATTACHMENT #1‌ @1‌ STATE OF CALIFORNIA HOTEL/MOTEL TRANSIENT OCCUPANCY TAX WAIVER (EXEMPTION CERTIFICATE FOR STATE AGENCIES)‌ STD. 236 (NEW 9-91) HOTEL/MOTEL OPERATOR: RETAIN THIS WAIVER FOR YOUR FILES TO SUBSTANTIATE YOUR REPORTS. PARTICIPATION BY OPERATORS IS STRICTLY VOLUNTARY Date Executed: HOTEL / MOTEL NAME TO: HOTEL / MOTEL ADDRESS (Number, Street, City, State, ZIP Code) This is to certify that I, the undersigned traveler, am a representative or employee of the State agency indicated below; that the charges for the occupancy at the above establishment on the dates set forth below have been, or will be paid for by the State of California; and that such charges are incurred in the performance of my official duties as a representative or employee of the State of California. OCCUPANCY DATE(S) AMOUNT PAID $ STATE AGENCY NAME JUDICIAL COUNCIL OF CALIFORNIA HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed) I hereby declare under the penalty of perjury that the foregoing statements are true and correct. EXECUTED AT: (City) TRAVELER'S SIGNATURE DATE SIGNED ,CALIFORNIA

Appears in 1 contract

Samples: Agreement

Disallowance. If the Contractor claims or receives payment for a service or reimbursement that is later disallowed by the Judicial Council, the Contractor shall promptly refund the disallowed amount upon the Judicial Council's request. At its option, the Judicial Council may offset the amount disallowed from any payment due or that may become due to the Contractor under this Agreement or any other agreement. END OF EXHIBIT with @Contractor Contractor Name EXHIBIT H ATTACHMENTS‌ This exhibit is reserved and, therefore, left blank intentionally. This exhibit includes the following attachment(s): o Attachment 1, Hotel/Motel Transient Occupancy Tax Waiver o Attachment 2, Contractor’s Audio-Visual Equipment Price List o Attachment 3, Contractor’s Catering Price List END OF EXHIBIT EXHIBIT H ATTACHMENT #1‌ STATE OF CALIFORNIA HOTEL/MOTEL TRANSIENT OCCUPANCY TAX WAIVER (EXEMPTION CERTIFICATE FOR STATE AGENCIES)‌ STD. 236 (NEW 9-91) HOTEL/MOTEL OPERATOR: RETAIN THIS WAIVER FOR YOUR FILES TO SUBSTANTIATE YOUR REPORTS. PARTICIPATION BY OPERATORS IS STRICTLY VOLUNTARY Date Executed: HOTEL / MOTEL NAME TO: HOTEL / MOTEL ADDRESS (Number, Street, City, State, ZIP Code) This is to certify that I, the undersigned traveler, am a representative or employee of the State agency indicated below; that the charges for the occupancy at the above establishment on the dates set forth below have been, or will be paid for by the State of California; and that such charges are incurred in the performance of my official duties as a representative or employee of the State of California. OCCUPANCY DATE(S) AMOUNT PAID $ STATE AGENCY NAME JUDICIAL COUNCIL OF CALIFORNIA HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed) I hereby declare under the penalty of perjury that the foregoing statements are true and correct. EXECUTED AT: (City) TRAVELER'S SIGNATURE DATE SIGNED ,CALIFORNIA

Appears in 1 contract

Samples: Agreement

Disallowance. If the Contractor claims or receives payment for a service or reimbursement that is later disallowed by the Judicial Council, the Contractor shall promptly refund the disallowed amount upon the Judicial CouncilCouncil 's request. At its option, the Judicial Council may offset the amount disallowed from any payment due or that may become due to the Contractor under this Agreement or any other agreement. END OF EXHIBIT Attachment 2 RFP Title: 2015 Labor Relations Academy I/II-Sacramento RFP Number: CRS SP 126 Deleted: <sp>¶ Judicial Council of California Standard Agreement No. @Agreement Number with @Contractor Name Deleted: ¶ ¶ ¶ @This exhibit is reserved and, therefore, left blank intentionally.¶ Deleted: @ Deleted: @ Deleted: @ Deleted: ¶ <#>@Attachment @2, Contractor’s Audio-Visual Equipment Price List¶ @Attachment @3, Contractor’s Catering Price List Formatted: Font color: Blue EXHIBIT H ATTACHMENTS‌ ATTACHMENTS This exhibit includes the following attachment(s): o Attachment 1, Hotel/Motel Transient Occupancy Tax Waiver o Attachment 2, Contractor’s Audio-Visual Equipment Price List o Attachment 3, Contractor’s Catering Price List END OF EXHIBIT Deleted: @ Deleted: @ EXHIBIT H ATTACHMENT #1‌ 1 STATE OF CALIFORNIA HOTEL/MOTEL TRANSIENT OCCUPANCY TAX WAIVER (EXEMPTION CERTIFICATE FOR STATE AGENCIES)‌ AGENCIES) STD. 236 (NEW 9-91) HOTEL/MOTEL OPERATOR: RETAIN THIS WAIVER FOR YOUR FILES TO SUBSTANTIATE YOUR REPORTS. PARTICIPATION BY OPERATORS IS STRICTLY VOLUNTARY Date Executed: HOTEL / MOTEL NAME TO: HOTEL / MOTEL ADDRESS (Number, Street, City, State, ZIP Code) This is to certify that I, the undersigned traveler, am a representative or employee of the State agency indicated below; that the charges for the occupancy at the above establishment on the dates set forth below have been, or will be paid for by the State of California; and that such charges are incurred in the performance of my official duties as a representative or employee of the State of California. OCCUPANCY DATE(S) AMOUNT PAID $ STATE AGENCY NAME JUDICIAL COUNCIL OF CALIFORNIA HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed) I hereby declare under the penalty of perjury that the foregoing statements are true and correct. EXECUTED AT: (City) TRAVELER'S SIGNATURE DATE SIGNED ,CALIFORNIACALIFORNIA END OF ATTACHMENT

Appears in 1 contract

Samples: Agreement

Disallowance. If the Contractor claims or receives payment for a service or reimbursement that is later disallowed by the Judicial CouncilAOC, the Contractor shall promptly refund the disallowed amount upon the Judicial CouncilAOC's request. At its option, the Judicial Council AOC may offset the amount disallowed from any payment due or that may become due to the Contractor under this Agreement or any other agreement. END OF EXHIBIT Attachment 2 RFP Name: ( insert RFPName) RFP Number: ( INSERT RFP NUMBER) Judicial Council of California, Administrative Office of the Courts Standard Agreement No. @Agreement Number with @Contractor Name EXHIBIT H ATTACHMENTS‌ ATTACHMENTS This exhibit includes the following attachment(s): o Attachment 1@Attachment @1, Hotel/Motel Transient Occupancy Tax Waiver o Attachment 2@Attachment @2, Contractor’s Audio-Visual Equipment Price List o Attachment 3, Contractor’s Catering Price List END OF EXHIBIT EXHIBIT @EXHIBIT H ATTACHMENT #1‌ @1 STATE OF CALIFORNIA HOTEL/MOTEL TRANSIENT OCCUPANCY TAX WAIVER (EXEMPTION CERTIFICATE FOR STATE AGENCIES)‌ AGENCIES) STD. 236 (NEW 9-91) HOTEL/MOTEL OPERATOR: RETAIN THIS WAIVER FOR YOUR FILES TO SUBSTANTIATE YOUR REPORTS. PARTICIPATION BY OPERATORS IS STRICTLY VOLUNTARY Date Executed: HOTEL / MOTEL NAME TO: HOTEL / MOTEL ADDRESS (Number, Street, City, State, ZIP Code) This is to certify that I, the undersigned traveler, am a representative or employee of the State agency indicated below; that the charges for the occupancy at the above establishment on the dates set forth below have been, or will be paid for by the State of California; and that such charges are incurred in the performance of my official duties as a representative or employee of the State of California. OCCUPANCY DATE(S) AMOUNT PAID $ STATE AGENCY NAME JUDICIAL COUNCIL OF CALIFORNIA HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed) I hereby declare under the penalty of perjury that the foregoing statements are true and correct. EXECUTED AT: (City) TRAVELER'S SIGNATURE DATE SIGNED ,CALIFORNIA

Appears in 1 contract

Samples: Agreement

Disallowance. If the Contractor claims or receives payment for a service or reimbursement that is later disallowed by the Judicial Council, the Contractor shall promptly refund the disallowed amount upon the Judicial Council's request. At its option, the Judicial Council may offset the amount disallowed from any payment due or that may become due to the Contractor under this Agreement or any other agreement. END OF EXHIBIT with @Contractor Name EXHIBIT H ATTACHMENTS‌ This exhibit includes the following attachment(s): o Attachment 1, Hotel/Motel Transient Occupancy Tax Waiver o Attachment 2, Contractor’s Audio-Visual Equipment Price List o Attachment 3, Contractor’s Catering Price List END OF EXHIBIT EXHIBIT @EXHIBIT H ATTACHMENT #1‌ @1‌ STATE OF CALIFORNIA HOTEL/MOTEL TRANSIENT OCCUPANCY TAX WAIVER (EXEMPTION CERTIFICATE FOR STATE AGENCIES)‌ AGENCIES) STD. 236 (NEW 9-91) HOTEL/MOTEL OPERATOR: RETAIN THIS WAIVER FOR YOUR FILES TO SUBSTANTIATE YOUR REPORTS. PARTICIPATION BY OPERATORS IS STRICTLY VOLUNTARY Date Executed: HOTEL / MOTEL NAME TO: HOTEL / MOTEL ADDRESS (Number, Street, City, State, ZIP Code) This is to certify that I, the undersigned traveler, am a representative or employee of the State agency indicated below; that the charges for the occupancy at the above establishment on the dates set forth below have been, or will be paid for by the State of California; and that such charges are incurred in the performance of my official duties as a representative or employee of the State of California. OCCUPANCY DATE(S) AMOUNT PAID $ STATE AGENCY NAME JUDICIAL COUNCIL OF CALIFORNIA HEADQUARTERS ADDRESS 000 Xxxxxx Xxxx Xxx, Xxx Xxxxxxxxx, XX 00000 TRAVELER'S NAME (Printed or Typed) Xxxxxx Xxxxxxxx - Xxxxxx I hereby declare under the penalty of perjury that the foregoing statements are true and correct. EXECUTED AT: (City) TRAVELER'S SIGNATURE DATE SIGNED San Francisco ,CALIFORNIA

Appears in 1 contract

Samples: Agreement

Disallowance. If the Contractor claims or receives payment for a service or reimbursement that is later disallowed by the Judicial Council, the Contractor shall promptly refund the disallowed amount upon the Judicial Council's request. At its option, the Judicial Council may offset the amount disallowed from any payment due or that may become due to the Contractor under this Agreement or any other agreement. END OF EXHIBIT with @Contractor Name EXHIBIT H ATTACHMENTS‌ This exhibit includes the following attachment(s): o Attachment 1, Hotel/Motel Transient Occupancy Tax Waiver o Attachment 24, Contractor’s Audio-Visual Equipment Price List o Attachment 3, Contractor’s Catering Price List Xxxxx Civil Rights Act and California Fair Employment and Housing Act Certification END OF EXHIBIT EXHIBIT H ATTACHMENT #1‌ STATE OF CALIFORNIA HOTEL/MOTEL TRANSIENT OCCUPANCY TAX WAIVER (EXEMPTION CERTIFICATE FOR STATE AGENCIES)‌ AGENCIES) STD. 236 (NEW 9-91) HOTEL/MOTEL OPERATOR: RETAIN THIS WAIVER FOR YOUR FILES TO SUBSTANTIATE YOUR REPORTS. PARTICIPATION BY OPERATORS IS STRICTLY VOLUNTARY Date Executed: HOTEL / MOTEL NAME TO: HOTEL / MOTEL ADDRESS (Number, Street, City, State, ZIP Code) This is to certify that I, the undersigned traveler, am a representative or employee of the State agency indicated below; that the charges for the occupancy at the above establishment on the dates set forth below have been, or will be paid for by the State of California; and that such charges are incurred in the performance of my official duties as a representative or employee of the State of California. OCCUPANCY DATE(S) AMOUNT PAID $ STATE AGENCY NAME JUDICIAL COUNCIL OF CALIFORNIA HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed) I hereby declare under the penalty of perjury that the foregoing statements are true and correct. EXECUTED AT: (City) TRAVELER'S SIGNATURE DATE SIGNED ,CALIFORNIACALIFORNIA END OF ATTACHMENT EXHIBIT H ATTACHMENT #4 XXXXX CIVIL RIGHTS ACT AND

Appears in 1 contract

Samples: Agreement

Disallowance. If the Contractor claims or receives payment for a service or reimbursement that is later disallowed by the Judicial CouncilAOC, the Contractor shall promptly refund the disallowed amount upon the Judicial CouncilAOC's request. At its option, the Judicial Council AOC may offset the amount disallowed from any payment due or that may become due to the Contractor under this Agreement or any other agreement. END OF EXHIBIT Attachment 1 RFP Title: TCPJAC and CEAC Statewide Business Meeting RFP Number: CRS SP 080 Judicial Council of California, Administrative Office of the Courts Standard Agreement No. @Agreement Number with @Contractor Name EXHIBIT H ATTACHMENTS‌ ATTACHMENTS This exhibit includes the following attachment(s): o Attachment 1, Hotel/Motel Transient Occupancy Tax Waiver o Attachment 2, Contractor’s Audio-Visual Equipment Price List o Attachment 3, Contractor’s Catering Price List END OF EXHIBIT EXHIBIT H ATTACHMENT #1‌ 1 STATE OF CALIFORNIA HOTEL/MOTEL TRANSIENT OCCUPANCY TAX WAIVER (EXEMPTION CERTIFICATE FOR STATE AGENCIES)‌ AGENCIES) STD. 236 (NEW 9-91) HOTEL/MOTEL OPERATOR: RETAIN THIS WAIVER FOR YOUR FILES TO SUBSTANTIATE YOUR REPORTS. PARTICIPATION BY OPERATORS IS STRICTLY VOLUNTARY Date Executed: HOTEL / MOTEL NAME TO: HOTEL / MOTEL ADDRESS (Number, Street, City, State, ZIP Code) This is to certify that I, the undersigned traveler, am a representative or employee of the State agency indicated below; that the charges for the occupancy at the above establishment on the dates set forth below have been, or will be paid for by the State of California; and that such charges are incurred in the performance of my official duties as a representative or employee of the State of California. OCCUPANCY DATE(S) AMOUNT PAID $ STATE AGENCY NAME JUDICIAL COUNCIL OF CALIFORNIA HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed) I hereby declare under the penalty of perjury that the foregoing statements are true and correct. EXECUTED AT: (City) TRAVELER'S SIGNATURE DATE SIGNED ,CALIFORNIA

Appears in 1 contract

Samples: Agreement

Disallowance. If the Contractor claims or receives payment for a service or reimbursement that is later disallowed by the Judicial Council, the Contractor shall promptly refund the disallowed amount upon the Judicial CouncilCouncil 's request. At its option, the Judicial Council may offset the amount disallowed from any payment due or that may become due to the Contractor under this Agreement or any other agreement. END OF EXHIBIT with @Contractor Name EXHIBIT H ATTACHMENTS‌ ATTACHMENTS This exhibit includes the following attachment(s): o Attachment 1, Hotel/Motel Transient Occupancy Tax Waiver o Attachment 2, Contractor’s Audio-Visual Equipment Price List o Attachment 3, Contractor’s Catering Price List END OF EXHIBIT EXHIBIT @EXHIBIT H ATTACHMENT #1‌ @1 STATE OF CALIFORNIA HOTEL/MOTEL TRANSIENT OCCUPANCY TAX WAIVER (EXEMPTION CERTIFICATE FOR STATE AGENCIES)‌ AGENCIES) STD. 236 (NEW 9-91) HOTEL/MOTEL OPERATOR: RETAIN THIS WAIVER FOR YOUR FILES TO SUBSTANTIATE YOUR REPORTS. PARTICIPATION BY OPERATORS IS STRICTLY VOLUNTARY Date Executed: HOTEL / MOTEL NAME TO: HOTEL / MOTEL ADDRESS (Number, Street, City, State, ZIP Code) This is to certify that I, the undersigned traveler, am a representative or employee of the State agency indicated below; that the charges for the occupancy at the above establishment on the dates set forth below have been, or will be paid for by the State of California; and that such charges are incurred in the performance of my official duties as a representative or employee of the State of California. OCCUPANCY DATE(S) AMOUNT PAID $ STATE AGENCY NAME JUDICIAL COUNCIL OF CALIFORNIA HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed) I hereby declare under the penalty of perjury that the foregoing statements are true and correct. EXECUTED AT: (City) TRAVELER'S SIGNATURE DATE SIGNED ,CALIFORNIA

Appears in 1 contract

Samples: Agreement

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