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. EXHIBIT H ATTACHMENTS‌ This exhibit includes the following attachment(s): o Attachment 1, Hotel/Motel Transient Occupancy Tax Waiver 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 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 HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed)

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. 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 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 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 HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed)

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. 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 o @Attachment @4, Xxxxx Civil Rights Act and California Fair Employment and Housing Act Certification @EXHIBIT H ATTACHMENT #@1‌ STATE OF CALIFORNIA‌ HOTEL/MOTEL TRANSIENT OCCUPANCY TAX WAIVER (EXEMPTION CERTIFICATE FOR STATE AGENCIES)‌‌ CALIFORNIA 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 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 HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed)

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. 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 o @Attachment @4, Xxxxx Civil Rights Act and California Fair Employment and Housing Act Certification 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 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 HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed)

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. 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 SAMPLE o @Attachment @4, Xxxxx Civil Rights Act and California Fair Employment and Housing Act Certification STATE OF CALIFORNIA‌ HOTEL/MOTEL TRANSIENT OCCUPANCY TAX WAIVER (EXEMPTION CERTIFICATE FOR STATE AGENCIES)‌‌ CALIFORNIA 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 HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed)

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. EXHIBIT H ATTACHMENTS‌ This exhibit includes the following attachment(s): o Attachment 1, Hotel/Motel Transient Occupancy Tax Waiver o Attachment 4, Xxxxx Civil Rights Act and California Fair Employment and Housing Act Certification 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 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 HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed)

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. 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 o @Attachment @4, Xxxxx Civil Rights Act and California Fair Employment and Housing Act Certification STATE OF CALIFORNIA‌ HOTEL/MOTEL TRANSIENT OCCUPANCY TAX WAIVER (EXEMPTION CERTIFICATE FOR STATE AGENCIES)‌‌ CALIFORNIA 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 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 HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed)

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. EXHIBIT H ATTACHMENTS‌ This exhibit includes the following attachment(s): o Attachment 1, Hotel/Motel Transient Occupancy Tax Waiver o Attachment 4, Xxxxx Civil Rights Act and California Fair Employment and Housing Act Certification 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 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 HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed)

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. 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 o @Attachment @4, Unruh Civil Rights Act and California Fair Employment and Housing Act Certification @EXHIBIT H ATTACHMENT #@1‌ STATE OF CALIFORNIA‌ HOTEL/MOTEL TRANSIENT OCCUPANCY TAX WAIVER (EXEMPTION CERTIFICATE FOR STATE AGENCIES)‌‌ CALIFORNIA 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 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 HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed)

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. 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 sample o @Attachment @4, Xxxxx Civil Rights Act and California Fair Employment and Housing Act Certification STATE OF CALIFORNIA‌ HOTEL/MOTEL TRANSIENT OCCUPANCY TAX WAIVER (EXEMPTION CERTIFICATE FOR STATE AGENCIES)‌‌ CALIFORNIA 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 HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed)

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. 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 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 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 HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed)

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. 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 STATE OF CALIFORNIA‌ HOTEL/MOTEL TRANSIENT OCCUPANCY TAX WAIVER (EXEMPTION CERTIFICATE FOR STATE AGENCIES)‌‌ CALIFORNIA 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 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 HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed)

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. 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 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 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 HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed)

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. EXHIBIT H ATTACHMENTS‌ This exhibit includes the following attachment(s): o Attachment 1@Attachment @1, Hotel/Motel Transient Occupancy Tax Waiver 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 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 HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed)

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. EXHIBIT H ATTACHMENTS‌ This exhibit includes the following attachment(s): o Attachment 1, Hotel/Motel Transient Occupancy Tax Waiver o Attachment 4, Xxxxx Civil Rights Act and California Fair Employment and Housing Act Certification EXHIBIT H ATTACHMENT #1‌ STATE OF CALIFORNIA‌ HOTEL/MOTEL TRANSIENT OCCUPANCY TAX WAIVER (EXEMPTION CERTIFICATE FOR STATE AGENCIES)‌‌ CALIFORNIA 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 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 HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed)

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. 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/ Sample menu o Attachment 4, Xxxxx Civil Rights Act and California Fair Employment and Housing Act Certification @EXHIBIT H ATTACHMENT #@1‌ STATE OF CALIFORNIA‌ HOTEL/MOTEL TRANSIENT OCCUPANCY TAX WAIVER (EXEMPTION CERTIFICATE FOR STATE AGENCIES)‌‌ CALIFORNIA 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 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 HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed)

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. EXHIBIT H ATTACHMENTS‌ This exhibit includes the following attachment(s): o Attachment 1@1, Hotel/Motel Transient Occupancy Tax Waiver @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 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 HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed)

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. EXHIBIT H ATTACHMENTS‌ This exhibit includes the following attachment(s): o Attachment 1@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 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 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 HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed)

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. EXHIBIT H ATTACHMENTS‌ This exhibit includes the following attachment(s): o Attachment 1@Attachment @1, Hotel/Motel Transient Occupancy Tax Waiver 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 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 HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed)

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. EXHIBIT H ATTACHMENTS‌ This exhibit includes the following attachment(s): o Attachment @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 @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 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 HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed)

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. 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 EXHIBIT H ATTACHMENT #1‌ STATE OF CALIFORNIA‌ HOTEL/MOTEL TRANSIENT OCCUPANCY TAX WAIVER (EXEMPTION CERTIFICATE FOR STATE AGENCIES)‌‌ CALIFORNIA 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 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 HEADQUARTERS ADDRESS TRAVELER'S NAME (Printed or Typed)