Common use of Documentation Submission Clause in Contracts

Documentation Submission. The Company shall not commence the Services under this SOW and the Agreement until the Company has submitted the following documents to District: Signed Agreement Workers’ Compensation Certification, in the form attached as a Schedule hereto Fingerprinting/Criminal Background Investigation Certification, in the form attached as a Schedule hereto Insurance Certificates and Endorsements W-9 Form Non-collusion Declaration, in the form attached as a Schedule hereto Tuberculosis Clearance, in the form attached as a Schedule hereto The Parties have executed this SOW effective as of the date first written above. COMPANY: HEYTUTOR INC. DISTRICT: Accelerated Schools By: Name: Title: Address for Notices: By: Name: Xxxxxxx Xxxxxxxxx Title: Chief Business Officer Address for Notices: 0000 X. Xxxx Xxxxxx Xxx Xxxxxxx, XX 00000 Date Executed: Date Executed: 8/15/23 -- Board approval 9/20/23 HEYTUTOR INC. SCHEDULE TO SOW FINGERPRINTING/CRIMINAL BACKGROUND INVESTIGATION CERTIFICATION One of the three boxes below must be checked, with the corresponding certification provided, and this form attached to the Statement of Work of Master Tutoring Services Agreement (“Agreement”): The fingerprinting and criminal background investigation requirements of Education Code section 45125.1 apply to Contractor’s services under this Agreement and Contractor certifies its compliance with these provisions as follows: Contractor certifies that the Contractor has complied with the fingerprinting and criminal background investigation requirements of Education Code section 45125.1 with respect to all Contractor’s employees, subcontractors, agents, and subcontractors’ employees or agents (“Employees”) regardless of whether those Employees are paid or unpaid, concurrently employed by the District, or acting as independent contractors of the Contractor, who may have contact with District pupils in the course of providing services pursuant to the Agreement, and the California Department of Justice has determined that none of those Employees has been convicted of a felony, as that term is defined in Education Code section 45122.1. A complete and accurate list of all Employees who may come in contact with District pupils during the course and scope of the Agreement is attached hereto. Pursuant to Education Code section 45125.2, Contractor has installed or will install, prior to commencement of Work, a physical barrier at the Work Site, that will limit contact between Contractor's employees and District pupils at all times; and/or Pursuant to Education Code section 45125.2, Contractor certifies that all employees will be under the continual supervision of, and monitored by, an employee of the Contractor who the California Department of Justice has ascertained has not been convicted of a violent or serious felony. The name and title of the employee who will be supervising Contractor's employees and its subcontractors' employees is: Name: Title: Contractor’s responsibility for background clearance extends to all of its employees, Subcontractors, and employees of Subcontractors coming into contact with District pupils regardless of whether they are designated as employees or acting as independent contractors of the Contractor. The undersigned does hereby certify that I am a representative of the Contractor currently under contract with the District; that I am familiar with the facts herein certified, and am authorized and qualified to execute this certificate on behalf of Contractor. COMPANY: HEYTUTOR INC. By: Name: Title: Address for Notices: Date Executed: HEYTUTOR INC. SCHEDULE TO SOW NONCOLLUSION DECLARATION TO BE EXECUTED BY XXXXXX AND SUBMITTED WITH BID (Public Contract Code section 7106) The undersigned declares: I am an authorized officer of HeyTutor Inc., the party making the foregoing bid. The bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation. The bid is genuine and not collusive or sham. The bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid. The bidder has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or to refrain from bidding. The bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price of the bidder or any other bidder, or to fix any overhead, profit, or cost element of the bid price, or of that of any other bidder. All statements contained in the bid are true. The bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, to any corporation, partnership, company, association, organization, bid depository, or to any member or agent thereof, to effectuate a collusive or sham bid, and has not paid, and will not pay, any person or entity for such purpose. Any person executing this declaration on behalf of a bidder that is a corporation, partnership, joint venture, limited liability company, limited liability partnership, or any other entity, hereby represents that he or she has full power to execute, and does execute, this declaration on behalf of the bidder. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration is executed on [date], at Los Angeles, California. Signature Print Name: HEYTUTOR INC. SCHEDULE TO SOW TUBERCULOSIS CLEARANCE The undersigned does hereby certify to the Governing Board of the District as follows: I am a duly authorized representative of HeyTutor Inc. (“Contractor”) currently entering into this Agreement with the District and I am familiar with the facts herein certified, and am authorized and qualified to execute this certificate on behalf of Contractor. Contractor’s responsibility for tuberculosis clearance extends to all of its employees, subcontractors, and employees of subcontractors coming into contact with District students regardless of whether they are designated as employees or acting as independent contractors of the Contractor. Contractor certifies that at least one of the following items applies to the Services that are the subject of the Agreement: the Contractor has complied with the tuberculosis requirements of Education Code Section 49406.1 with respect to all Contractor's employees and all of its subcontractors’ employees who may have contact with District students in the course of providing Services pursuant to the Agreement, and the California Department of Justice has determined that none of those employees has active tuberculosis, as that term is defined in Education Code Section 45122.1. A complete and accurate list of Contractor's employees and of all of its subcontractors' employees who may come in contact with District students during the course and scope of the Agreement is attached hereto; and/or Contractor’s Services under the Agreement are to be provided at an unoccupied school site only and/or will not be done on any District property and no employee and/or subcontractor or supplier of any tier of Agreement shall come in contact with District students. COMPANY: HEYTUTOR INC. By: Name: Title: Address for Notices: Date Executed: HEYTUTOR INC. SCHEDULE TO SOW WORKERS’ COMPENSATION CERTIFICATION Labor Code Section 3700 in relevant part provides: Every employer except the State shall secure the payment of compensation in one or more of the following ways: ● By being insured against liability to pay compensation by one or more insurers duly authorized to write compensation insurance in this State. ● By securing from the Director of Industrial Relations a certificate of consent to self-insure, which may be given upon furnishing satisfactory proof to the Director of Industrial Relations of ability to self-insure and to pay any compensation that may become due to its employees. I am aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for workers’ compensation or to undertake self-insurance in accordance with the provisions of that code, and I will comply with such provisions before commencing the performance of the Work of this Contract. COMPANY: HEYTUTOR INC. By: Name: Title: Address for Notices: Date Executed:

Documentation Submission. The Company shall not commence the Services under this SOW and the Agreement until the Company has submitted the following documents to District: Signed Agreement Workers’ Compensation Certification, in the form attached as a Schedule hereto Fingerprinting/Criminal Background Investigation Certification, in the form attached as a Schedule hereto Insurance Certificates and Endorsements W-9 Form Non-collusion Declaration, in the form attached as a Schedule hereto Tuberculosis Clearance, in the form attached as a Schedule hereto The Parties have executed this SOW effective as of the date first written above. COMPANY: HEYTUTOR INC. DISTRICT: Accelerated Schools By: Name: Title: Address for Notices: By: Name: Xxxxxxx Xxxxxxxxx Xxxxx / Xxxxxx Xxxxx Title: Chief Business Officer CHRO / Director of Fiscal Services Address for Notices: 0000 X. Xxxx Xxxxxx Xxx Xxxxxxx, XX 00000 Date Executed: Date Executed: 8/15/23 -- Board approval 9/20/23 8/11/23 HEYTUTOR INC. SCHEDULE TO SOW FINGERPRINTING/CRIMINAL BACKGROUND INVESTIGATION CERTIFICATION One of the three boxes below must be checked, with the corresponding certification provided, and this form attached to the Statement of Work of Master Tutoring Services Agreement (“Agreement”): The fingerprinting and criminal background investigation requirements of Education Code section 45125.1 apply to Contractor’s services under this Agreement and Contractor certifies its compliance with these provisions as follows: Contractor certifies that the Contractor has complied with the fingerprinting and criminal background investigation requirements of Education Code section 45125.1 with respect to all Contractor’s employees, subcontractors, agents, and subcontractors’ employees or agents (“Employees”) regardless of whether those Employees are paid or unpaid, concurrently employed by the District, or acting as independent contractors of the Contractor, who may have contact with District pupils in the course of providing services pursuant to the Agreement, and the California Department of Justice has determined that none of those Employees has been convicted of a felony, as that term is defined in Education Code section 45122.1. A complete and accurate list of all Employees who may come in contact with District pupils during the course and scope of the Agreement is attached hereto. Pursuant to Education Code section 45125.2, Contractor has installed or will install, prior to commencement of Work, a physical barrier at the Work Site, that will limit contact between Contractor's employees and District pupils at all times; and/or Pursuant to Education Code section 45125.2, Contractor certifies that all employees will be under the continual supervision of, and monitored by, an employee of the Contractor who the California Department of Justice has ascertained has not been convicted of a violent or serious felony. The name and title of the employee who will be supervising Contractor's employees and its subcontractors' employees is: Name: Title: Contractor’s responsibility for background clearance extends to all of its employees, Subcontractors, and employees of Subcontractors coming into contact with District pupils regardless of whether they are designated as employees or acting as independent contractors of the Contractor. The undersigned does hereby certify that I am a representative of the Contractor currently under contract with the District; that I am familiar with the facts herein certified, and am authorized and qualified to execute this certificate on behalf of Contractor. COMPANY: HEYTUTOR INC. By: Name: Title: Address for Notices: Date Executed: HEYTUTOR INC. SCHEDULE TO SOW NONCOLLUSION DECLARATION TO BE EXECUTED BY XXXXXX AND SUBMITTED WITH BID (Public Contract Code section 7106) The undersigned declares: I am an authorized officer of HeyTutor Inc., the party making the foregoing bid. The bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation. The bid is genuine and not collusive or sham. The bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid. The bidder has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or to refrain from bidding. The bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price of the bidder or any other bidder, or to fix any overhead, profit, or cost element of the bid price, or of that of any other bidder. All statements contained in the bid are true. The bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, to any corporation, partnership, company, association, organization, bid depository, or to any member or agent thereof, to effectuate a collusive or sham bid, and has not paid, and will not pay, any person or entity for such purpose. Any person executing this declaration on behalf of a bidder that is a corporation, partnership, joint venture, limited liability company, limited liability partnership, or any other entity, hereby represents that he or she has full power to execute, and does execute, this declaration on behalf of the bidder. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration is executed on [date], at Los Angeles, California. Signature Print Name: HEYTUTOR INC. SCHEDULE TO SOW TUBERCULOSIS CLEARANCE The undersigned does hereby certify to the Governing Board of the District as follows: I am a duly authorized representative of HeyTutor Inc. (“Contractor”) currently entering into this Agreement with the District and I am familiar with the facts herein certified, and am authorized and qualified to execute this certificate on behalf of Contractor. Contractor’s responsibility for tuberculosis clearance extends to all of its employees, subcontractors, and employees of subcontractors coming into contact with District students regardless of whether they are designated as employees or acting as independent contractors of the Contractor. Contractor certifies that at least one of the following items applies to the Services that are the subject of the Agreement: the Contractor has complied with the tuberculosis requirements of Education Code Section 49406.1 with respect to all Contractor's employees and all of its subcontractors’ employees who may have contact with District students in the course of providing Services pursuant to the Agreement, and the California Department of Justice has determined that none of those employees has active tuberculosis, as that term is defined in Education Code Section 45122.1. A complete and accurate list of Contractor's employees and of all of its subcontractors' employees who may come in contact with District students during the course and scope of the Agreement is attached hereto; and/or Contractor’s Services under the Agreement are to be provided at an unoccupied school site only and/or will not be done on any District property and no employee and/or subcontractor or supplier of any tier of Agreement shall come in contact with District students. COMPANY: HEYTUTOR INC. By: Name: Title: Address for Notices: Date Executed: HEYTUTOR INC. SCHEDULE TO SOW WORKERS’ COMPENSATION CERTIFICATION Labor Code Section 3700 in relevant part provides: Every employer except the State shall secure the payment of compensation in one or more of the following ways: ● By being insured against liability to pay compensation by one or more insurers duly authorized to write compensation insurance in this State. ● By securing from the Director of Industrial Relations a certificate of consent to self-insure, which may be given upon furnishing satisfactory proof to the Director of Industrial Relations of ability to self-insure and to pay any compensation that may become due to its employees. I am aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for workers’ compensation or to undertake self-insurance in accordance with the provisions of that code, and I will comply with such provisions before commencing the performance of the Work of this Contract. COMPANY: HEYTUTOR INC. By: Name: Title: Address for Notices: Date Executed:

Documentation Submission. The Company shall not commence the Services under this SOW and the Agreement until the Company has submitted the following documents to District: Signed Agreement Workers’ Compensation Certification, in the form attached as a Schedule hereto Fingerprinting/Criminal Background Investigation Certification, in the form attached as a Schedule hereto Insurance Certificates and Endorsements W-9 Form Non-collusion Declaration, in the form attached as a Schedule hereto Tuberculosis Clearance, in the form attached as a Schedule hereto The Parties have executed this SOW effective as of the date first written above. COMPANY: HEYTUTOR INC. DISTRICT: Accelerated Schools By: Name: Xxxxxxxx Xxxxxxxxx Title: CEO Address for Notices: By: Name: Xxxxxxx Xxxxxxxxx XXXXXX XXXXX Title: Chief Business Officer Address for Notices: 00000 Xxxxxx Xxxxxx Xxxxx 0000 Xxxxxxxx Xxxxx, XX 00000 0000 X. Xxxx Xxxxxx Xxx Xxxxxxx, XX 00000 Date Executed: 8/12/2024 Date Executed: 8/15/23 -- Board approval 9/20/23 8/12/2024 HEYTUTOR INC. SCHEDULE TO SOW FINGERPRINTING/CRIMINAL BACKGROUND INVESTIGATION CERTIFICATION One of the three boxes below must be checked, with the corresponding certification provided, and this form attached to the Statement of Work of Master Tutoring Services Agreement (“Agreement”): X The fingerprinting and criminal background investigation requirements of Education Code section 45125.1 apply to Contractor’s services under this Agreement and Contractor certifies its compliance with these provisions as follows: Contractor certifies that the Contractor has complied with the fingerprinting and criminal background investigation requirements of Education Code section 45125.1 with respect to all Contractor’s employees, subcontractors, agents, and subcontractors’ employees or agents (“Employees”) regardless of whether those Employees are paid or unpaid, concurrently employed by the District, or acting as independent contractors of the Contractor, who may have contact with District pupils in the course of providing services pursuant to the Agreement, and the California Department of Justice has determined that none of those Employees has been convicted of a felony, as that term is defined in Education Code section 45122.1. A complete and accurate list of all Employees who may come in contact with District pupils during the course and scope of the Agreement is attached hereto. Pursuant to Education Code section 45125.2, Contractor has installed or will install, prior to commencement of Work, a physical barrier at the Work Site, that will limit contact between Contractor's employees and District pupils at all times; and/or Pursuant to Education Code section 45125.2, Contractor certifies that all employees will be under the continual supervision of, and monitored by, an employee of the Contractor who the California Department of Justice has ascertained has not been convicted of a violent or serious felony. The name and title of the employee who will be supervising Contractor's employees and its subcontractors' employees is: Name: Title: Contractor’s responsibility for background clearance extends to all of its employees, Subcontractors, and employees of Subcontractors coming into contact with District pupils regardless of whether they are designated as employees or acting as independent contractors of the Contractor. The undersigned does hereby certify that I am a representative of the Contractor currently under contract with the District; that I am familiar with the facts herein certified, and am authorized and qualified to execute this certificate on behalf of Contractor. COMPANY: HEYTUTOR INC. By: Name: Xxxxxxxx Xxxxxxxxx Title: CEO Address for Notices: 00000 Xxxxxx Xxxxxx Xxxxx 0000 Xxxxxxxx Xxxxx, XX 00000 Date Executed: 8/12/2024 HEYTUTOR INC. SCHEDULE TO SOW NONCOLLUSION DECLARATION TO BE EXECUTED BY XXXXXX AND SUBMITTED WITH BID (Public Contract Code section 7106) The undersigned declares: I am an authorized officer of HeyTutor Inc., the party making the foregoing bid. The bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation. The bid is genuine and not collusive or sham. The bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid. The bidder has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or to refrain from bidding. The bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price of the bidder or any other bidder, or to fix any overhead, profit, or cost element of the bid price, or of that of any other bidder. All statements contained in the bid are true. The bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, to any corporation, partnership, company, association, organization, bid depository, or to any member or agent thereof, to effectuate a collusive or sham bid, and has not paid, and will not pay, any person or entity for such purpose. Any person executing this declaration on behalf of a bidder that is a corporation, partnership, joint venture, limited liability company, limited liability partnership, or any other entity, hereby represents that he or she has full power to execute, and does execute, this declaration on behalf of the bidder. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration is executed on 8/12/2024 [date], at Los Angeles, California. Signature Print Name: Xxxxxxxx Xxxxxxxxx HEYTUTOR INC. SCHEDULE TO SOW TUBERCULOSIS CLEARANCE The undersigned does hereby certify to the Governing Board of the District as follows: I am a duly authorized representative of HeyTutor Inc. (“Contractor”) currently entering into this Agreement with the District and I am familiar with the facts herein certified, and am authorized and qualified to execute this certificate on behalf of Contractor. Contractor’s responsibility for tuberculosis clearance extends to all of its employees, subcontractors, and employees of subcontractors coming into contact with District students regardless of whether they are designated as employees or acting as independent contractors of the Contractor. Contractor certifies that at least one of the following items applies to the Services that are the subject of the Agreement: X the Contractor has complied with the tuberculosis requirements of Education Code Section 49406.1 with respect to all Contractor's employees and all of its subcontractors’ employees who may have contact with District students in the course of providing Services pursuant to the Agreement, and the California Department of Justice has determined that none of those employees has active tuberculosis, as that term is defined in Education Code Section 45122.1. A complete and accurate list of Contractor's employees and of all of its subcontractors' employees who may come in contact with District students during the course and scope of the Agreement is attached hereto; and/or Contractor’s Services under the Agreement are to be provided at an unoccupied school site only and/or will not be done on any District property and no employee and/or subcontractor or supplier of any tier of Agreement shall come in contact with District students. COMPANY: HEYTUTOR INC. By: Name: Xxxxxxxx Xxxxxxxxx Title: CEO Address for Notices: 00000 Xxxxxx Xxxxxx Xxxxx 0000 Xxxxxxxx Xxxxx, XX 00000 8/12/2024 Date Executed: HEYTUTOR INC. SCHEDULE TO SOW WORKERS’ COMPENSATION CERTIFICATION Labor Code Section 3700 in relevant part provides: Every employer except the State shall secure the payment of compensation in one or more of the following ways: ● By being insured against liability to pay compensation by one or more insurers duly authorized to write compensation insurance in this State. ● By securing from the Director of Industrial Relations a certificate of consent to self-insure, which may be given upon furnishing satisfactory proof to the Director of Industrial Relations of ability to self-insure and to pay any compensation that may become due to its employees. I am aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for workers’ compensation or to undertake self-insurance in accordance with the provisions of that code, and I will comply with such provisions before commencing the performance of the Work of this Contract. COMPANY: HEYTUTOR INC. By: Name: Xxxxxxxx Xxxxxxxxx Title: CEO Address for Notices: 00000 Xxxxxx Xxxxxx Xxxxx 0000 Xxxxxxxx Xxxxx, XX 00000 Date Executed:: 8/12/2024

Documentation Submission. The Company shall not commence the Services under this SOW and the Agreement until the Company has submitted the following documents to District: Signed Agreement Workers’ Compensation Certification, in the form attached as a Schedule hereto Fingerprinting/Criminal Background Investigation Certification, in the form attached as a Schedule hereto Insurance Certificates and Endorsements W-9 Form Non-collusion Declaration, in the form attached as a Schedule hereto Tuberculosis Clearance, in the form attached as a Schedule hereto The Parties have executed this SOW effective as of the date first written above. COMPANY: HEYTUTOR INC. DISTRICT: Accelerated Schools Azusa Unified School District By: Name: Xxxxxxxx Xxxxxxxxx Title: CEO Address for Notices: By: Name: Xxxxx Xxxxxxxx Xxxxxxx Xxxxxxxxx Title: Chief Business Officer Assist. Superintendent, Ed. Services Address for Notices: 00000 Xxxxxx Xxxxxx Xxxxx 0000 X. Xxxx Xxxxxxxx Xxxxx, XX 00000 000 Xxxxx Xxxxxx Xxx XxxxxxxXxxxxx Xxxxx, XX 00000 Date Executed: 7/19/2024 Date Executed: 8/15/23 -- Board approval 9/20/23 HEYTUTOR INC. SCHEDULE TO SOW FINGERPRINTING/CRIMINAL BACKGROUND INVESTIGATION CERTIFICATION One of the three boxes below must be checked, with the corresponding certification provided, and this form attached to the Statement of Work of Master Tutoring Services Agreement (“Agreement”): X The fingerprinting and criminal background investigation requirements of Education Code section 45125.1 apply to Contractor’s services under this Agreement and Contractor certifies its compliance with these provisions as follows: Contractor certifies that the Contractor has complied with the fingerprinting and criminal background investigation requirements of Education Code section 45125.1 with respect to all Contractor’s employees, subcontractors, agents, and subcontractors’ employees or agents (“Employees”) regardless of whether those Employees are paid or unpaid, concurrently employed by the District, or acting as independent contractors of the Contractor, who may have contact with District pupils in the course of providing services pursuant to the Agreement, and the California Department of Justice has determined that none of those Employees has been convicted of a felony, as that term is defined in Education Code section 45122.1. A complete and accurate list of all Employees who may come in contact with District pupils during the course and scope of the Agreement is attached hereto. Pursuant to Education Code section 45125.2, Contractor has installed or will install, prior to commencement of Work, a physical barrier at the Work Site, that will limit contact between Contractor's employees and District pupils at all times; and/or Pursuant to Education Code section 45125.2, Contractor certifies that all employees will be under the continual supervision of, and monitored by, an employee of the Contractor who the California Department of Justice has ascertained has not been convicted of a violent or serious felony. The name and title of the employee who will be supervising Contractor's employees and its subcontractors' employees is: Name: Title: Contractor’s responsibility for background clearance extends to all of its employees, Subcontractors, and employees of Subcontractors coming into contact with District pupils regardless of whether they are designated as employees or acting as independent contractors of the Contractor. The undersigned does hereby certify that I am a representative of the Contractor currently under contract with the District; that I am familiar with the facts herein certified, and am authorized and qualified to execute this certificate on behalf of Contractor. COMPANY: HEYTUTOR INC. By: Name: Xxxxxxxx Xxxxxxxxx Title: CEO Address for Notices: 00000 Xxxxxx Xxxxxx Xxxxx 0000 Xxxxxxxx Xxxxx, XX 00000 Date Executed: 7/19/2024 HEYTUTOR INC. SCHEDULE TO SOW NONCOLLUSION DECLARATION TO BE EXECUTED BY XXXXXX AND SUBMITTED WITH BID (Public Contract Code section 7106) The undersigned declares: I am an authorized officer of HeyTutor Inc., the party making the foregoing bid. The bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation. The bid is genuine and not collusive or sham. The bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid. The bidder has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or to refrain from bidding. The bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price of the bidder or any other bidder, or to fix any overhead, profit, or cost element of the bid price, or of that of any other bidder. All statements contained in the bid are true. The bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, to any corporation, partnership, company, association, organization, bid depository, or to any member or agent thereof, to effectuate a collusive or sham bid, and has not paid, and will not pay, any person or entity for such purpose. Any person executing this declaration on behalf of a bidder that is a corporation, partnership, joint venture, limited liability company, limited liability partnership, or any other entity, hereby represents that he or she has full power to execute, and does execute, this declaration on behalf of the bidder. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration is executed on 7/19/2024 [date], at Los Angeles, California. Signature Print Name: Xxxxxxxx Xxxxxxxxx HEYTUTOR INC. SCHEDULE TO SOW TUBERCULOSIS CLEARANCE The undersigned does hereby certify to the Governing Board of the District as follows: I am a duly authorized representative of HeyTutor Inc. (“Contractor”) currently entering into this Agreement with the District and I am familiar with the facts herein certified, and am authorized and qualified to execute this certificate on behalf of Contractor. Contractor’s responsibility for tuberculosis clearance extends to all of its employees, subcontractors, and employees of subcontractors coming into contact with District students regardless of whether they are designated as employees or acting as independent contractors of the Contractor. Contractor certifies that at least one of the following items applies to the Services that are the subject of the Agreement: X the Contractor has complied with the tuberculosis requirements of Education Code Section 49406.1 with respect to all Contractor's employees and all of its subcontractors’ employees who may have contact with District students in the course of providing Services pursuant to the Agreement, and the California Department of Justice has determined that none of those employees has active tuberculosis, as that term is defined in Education Code Section 45122.1. A complete and accurate list of Contractor's employees and of all of its subcontractors' employees who may come in contact with District students during the course and scope of the Agreement is attached hereto; and/or Contractor’s Services under the Agreement are to be provided at an unoccupied school site only and/or will not be done on any District property and no employee and/or subcontractor or supplier of any tier of Agreement shall come in contact with District students. COMPANY: HEYTUTOR INC. By: Name: Xxxxxxxx Xxxxxxxxx Title: CEO Address for Notices: 00000 Xxxxxx Xxxxxx Xxxxx 0000 Xxxxxxxx Xxxxx, XX 00000 7/19/2024 Date Executed: HEYTUTOR INC. SCHEDULE TO SOW WORKERS’ COMPENSATION CERTIFICATION Labor Code Section 3700 in relevant part provides: Every employer except the State shall secure the payment of compensation in one or more of the following ways: ● By being insured against liability to pay compensation by one or more insurers duly authorized to write compensation insurance in this State. ● By securing from the Director of Industrial Relations a certificate of consent to self-insure, which may be given upon furnishing satisfactory proof to the Director of Industrial Relations of ability to self-insure and to pay any compensation that may become due to its employees. I am aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for workers’ compensation or to undertake self-insurance in accordance with the provisions of that code, and I will comply with such provisions before commencing the performance of the Work of this Contract. COMPANY: HEYTUTOR INC. By: Name: Xxxxxxxx Xxxxxxxxx Title: CEO Address for Notices: 00000 Xxxxxx Xxxxxx Xxxxx 0000 Xxxxxxxx Xxxxx, XX 00000 Date Executed:: 7/19/2024

Documentation Submission. The Company shall not commence the Services under this SOW and the Agreement until the Company has submitted the following documents to District: Signed Agreement Workers’ Compensation Certification, in the form attached as a Schedule hereto Fingerprinting/Criminal Background Investigation Certification, in the form attached as a Schedule hereto Insurance Certificates and Endorsements W-9 Form Non-collusion Declaration, in the form attached as a Schedule hereto Tuberculosis Clearance, in the form attached as a Schedule hereto The Parties have executed this SOW effective as of the date first written above. COMPANY: HEYTUTOR INC. DISTRICT: Accelerated Schools Azusa Unified School District By: Name: _Xxxx Xxxxxxxxx Title:_CEO Address for Notices: By: Name: Title: Address for Notices: By: Name: Xxxxxxx Xxxxxxxxx Title: Chief Business Officer Address for Notices: _00000 Xxxxxx Xxxxxx Xxxxx 0000 X. Xxxx Xxxxxx Xxx Xxxxxxx_Xxxxxxxx Xxxxx, XX 00000 9_1367 Date Executed: 8/21/2023 Date Executed: 8/15/23 -- Board approval 9/20/23 HEYTUTOR INC. SCHEDULE TO SOW FINGERPRINTING/CRIMINAL BACKGROUND INVESTIGATION CERTIFICATION One of the three boxes below must be checked, with the corresponding certification provided, and this form attached to the Statement of Work of Master Tutoring Services Agreement (“Agreement”): X The fingerprinting and criminal background investigation requirements of Education Code section 45125.1 apply to Contractor’s services under this Agreement and Contractor certifies its compliance with these provisions as follows: Contractor certifies that the Contractor has complied with the fingerprinting and criminal background investigation requirements of Education Code section 45125.1 with respect to all Contractor’s employees, subcontractors, agents, and subcontractors’ employees or agents (“Employees”) regardless of whether those Employees are paid or unpaid, concurrently employed by the District, or acting as independent contractors of the Contractor, who may have contact with District pupils in the course of providing services pursuant to the Agreement, and the California Department of Justice has determined that none of those Employees has been convicted of a felony, as that term is defined in Education Code section 45122.1. A complete and accurate list of all Employees who may come in contact with District pupils during the course and scope of the Agreement is attached hereto. Pursuant to Education Code section 45125.2, Contractor has installed or will install, prior to commencement of Work, a physical barrier at the Work Site, that will limit contact between Contractor's employees and District pupils at all times; and/or Pursuant to Education Code section 45125.2, Contractor certifies that all employees will be under the continual supervision of, and monitored by, an employee of the Contractor who the California Department of Justice has ascertained has not been convicted of a violent or serious felony. The name and title of the employee who will be supervising Contractor's employees and its subcontractors' employees is: Name: Title: Contractor’s responsibility for background clearance extends to all of its employees, Subcontractors, and employees of Subcontractors coming into contact with District pupils regardless of whether they are designated as employees or acting as independent contractors of the Contractor. The undersigned does hereby certify that I am a representative of the Contractor currently under contract with the District; that I am familiar with the facts herein certified, and am authorized and qualified to execute this certificate on behalf of Contractor. COMPANY: HEYTUTOR INC. By: Name: Title: Xxxx Xxxxxxxxx Title:_CEO Address for Notices: _00000 Xxxxxx Xxxxxx Xxxxx 0000 _Xxxxxxxx Xxxxx, XX 0_0000 Date Executed: 8/21/2023 HEYTUTOR INC. SCHEDULE TO SOW NONCOLLUSION DECLARATION TO BE EXECUTED BY XXXXXX AND SUBMITTED WITH BID (Public Contract Code section 7106) The undersigned declares: I am an authorized officer of HeyTutor Inc., the party making the foregoing bid. The bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation. The bid is genuine and not collusive or sham. The bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid. The bidder has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or to refrain from bidding. The bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price of the bidder or any other bidder, or to fix any overhead, profit, or cost element of the bid price, or of that of any other bidder. All statements contained in the bid are true. The bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, to any corporation, partnership, company, association, organization, bid depository, or to any member or agent thereof, to effectuate a collusive or sham bid, and has not paid, and will not pay, any person or entity for such purpose. Any person executing this declaration on behalf of a bidder that is a corporation, partnership, joint venture, limited liability company, limited liability partnership, or any other entity, hereby represents that he or she has full power to execute, and does execute, this declaration on behalf of the bidder. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration is executed on 8/21/2023 [date], at Los Angeles, California. Signature Print Name: Xxxx Xxxxxxxxx HEYTUTOR INC. SCHEDULE TO SOW TUBERCULOSIS CLEARANCE The undersigned does hereby certify to the Governing Board of the District as follows: I am a duly authorized representative of HeyTutor Inc. (“Contractor”) currently entering into this Agreement with the District and I am familiar with the facts herein certified, and am authorized and qualified to execute this certificate on behalf of Contractor. Contractor’s responsibility for tuberculosis clearance extends to all of its employees, subcontractors, and employees of subcontractors coming into contact with District students regardless of whether they are designated as employees or acting as independent contractors of the Contractor. Contractor certifies that at least one of the following items applies to the Services that are the subject of the Agreement: X the Contractor has complied with the tuberculosis requirements of Education Code Section 49406.1 with respect to all Contractor's employees and all of its subcontractors’ employees who may have contact with District students in the course of providing Services pursuant to the Agreement, and the California Department of Justice has determined that none of those employees has active tuberculosis, as that term is defined in Education Code Section 45122.1. A complete and accurate list of Contractor's employees and of all of its subcontractors' employees who may come in contact with District students during the course and scope of the Agreement is attached hereto; and/or Contractor’s Services under the Agreement are to be provided at an unoccupied school site only and/or will not be done on any District property and no employee and/or subcontractor or supplier of any tier of Agreement shall come in contact with District students. COMPANY: HEYTUTOR INC. By: Name: Title: _Xxxx Xxxxxxxxx Title:_CEO Address for Notices: _00000 Xxxxxx Xxxxxx Xxxxx 0000 Xxxxxxxx Xxxxx, XX 00000 8/21/2023 Date Executed: HEYTUTOR INC. SCHEDULE TO SOW WORKERS’ COMPENSATION CERTIFICATION Labor Code Section 3700 in relevant part provides: Every employer except the State shall secure the payment of compensation in one or more of the following ways: ● By being insured against liability to pay compensation by one or more insurers duly authorized to write compensation insurance in this State. ● By securing from the Director of Industrial Relations a certificate of consent to self-insure, which may be given upon furnishing satisfactory proof to the Director of Industrial Relations of ability to self-insure and to pay any compensation that may become due to its employees. I am aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for workers’ compensation or to undertake self-insurance in accordance with the provisions of that code, and I will comply with such provisions before commencing the performance of the Work of this Contract. COMPANY: HEYTUTOR INC. By: Name: Title: _Xxxx Xxxxxxxxx Title:_CEO Address for Notices: _00000 Xxxxxx Xxxxxx Xxxxx 0000 _Xxxxxxxx Xxxxx, XX 9_1367 Date Executed:: 8/21/2023