Common use of Form 1295 Clause in Contracts

Form 1295. In compliance with the State of Texas Government Code, Section 2252.908, if applicable, the City requires that Contractor must complete the online Form 1295 – “Certificate of Interested Parties” – and must provide a signed and notarized printed copy of the form and a separate certification of filing. The form can be found at xxx.xxxxxx.xxxxx.xx.xx. Form 1295 is also required for any and all contract amendments, extensions or renewals. Prior to execution of this Contract and any payment to Contractor hereunder, Contractor shall provide proof of submission to the City Secretary that the appropriate Form 1295 documentation has been submitted. SIGNED AND AGREED on , 2024. CITY OF MANOR, TEXAS By: Xxxxx Xxxxx, City Manager Xxxxxx Xxxxxxx, City Secretary Xxxxxxxx Xxxxxx, Assistant City Attorney SIGNED AND AGREED on , 2024. By: Name: Title:

Appears in 2 contracts

Samples: Solid Waste Collection, Transportation, and Disposal Contract, Solid Waste Collection, Transportation, and Disposal Contract

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Form 1295. In compliance with the State of Texas Government Code, Section 2252.908, if applicable, the City requires that Contractor must complete the online Form 1295 – “Certificate of Interested Parties” – and must provide a signed and notarized printed copy of the form and a separate certification of filing. The form can be found at xxx.xxxxxx.xxxxx.xx.xx. Form 1295 is also required for any and all contract amendments, extensions or renewals. Prior to execution of this Contract Agreement and any payment to Contractor Business Associate hereunder, Contractor Business Associate shall provide proof of submission to the City Secretary that the appropriate Form 1295 documentation has been submitted. SIGNED AND AGREED on , 2024. CITY OF MANOR, TEXAS By: Xxxxx Xxxxx, City Manager Xxxxxx Xxxxxxx, City Secretary Xxxxxxxx Xxxxxx, Assistant City Attorney SIGNED AND AGREED on , 2024. By: Name: Title:.

Appears in 1 contract

Samples: Business Associate Agreement

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Form 1295. In compliance with the State of Texas Government Code, Section 2252.908, if applicable, the City requires that Contractor must complete the online Form 1295 – “Certificate of Interested Parties” – and must provide a signed and notarized printed copy of the form and a separate certification of filing. The form can be found at xxx.xxxxxx.xxxxx.xx.xx. Form 1295 is also required for any and all contract amendments, extensions or renewals. Prior to execution of this Contract and any payment to Contractor hereunder, Contractor shall provide proof of submission to the City Secretary that the appropriate Form 1295 documentation has been submitted. SIGNED AND AGREED on , 2024. CITY OF MANOR, TEXAS By: Xxxxx Xxxxx, City Manager Xxxxxx X. Xxxxxxx, City Secretary Xxxxxxxx Xxxxxx, Assistant City Attorney SIGNED AND AGREED on , 2024. By: Name: Title:

Appears in 1 contract

Samples: Solid Waste Collection, Transportation, and Disposal Contract

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