Common use of Form Affirmation Clause Clause in Contracts

Form Affirmation Clause. The Undersigned swears or affirms under the penalties of perjury that the undersigned has not altered, modified or changed the clauses 1‐24 of the Commissioners form contract in any way except for the following clauses which are named below: IN TESTIMONY WHEREOF, the parties hereto have executed this Agreement. CONSULTANT LOCAL PUBLIC AGENCY Design Collaborative The Board of Commissioners of the County of Xxxxx, Indiana By: By: Xxxxx Xxxxxx Xxxxxxx X. Xxxxx, President Principal By: Attest: Xxxxxxx X. Xxxx, Xx., Vice President By: By: Xxxxx Xxxxx F. Xxxxxx Xxxxxx, Secretary Office Manager Attest: By: Xxxxx Xxxxx, Xxxxx County Deputy Auditor APPENDIX "A"

Form Affirmation Clause. The Undersigned swears or affirms under the penalties of perjury that the undersigned has not altered, modified or changed the clauses 1‐24 1-25 of the Commissioners form contract in any way except for the following clauses which are named below: IN TESTIMONY WHEREOF, the parties hereto have executed this Agreement. CONSULTANT LOCAL PUBLIC AGENCY Design Collaborative Apex Consulting and Surveying, Inc. The Board of Commissioners of the County of XxxxxAllen, Indiana ______________________ By: By: Xxxxx Xxxxxx Xxxxxxx X. XxxxxXxxxxxxxx, President Principal By: Attest: PE Xxxxxxx X. Xxxx, Xx., Vice President Vice-President By: ByAttest: Xxxxx Xxxxx F. Xxxxxx Xxxxxx, Secretary Vice President Xxxx Xxxxxxx By: Xxxx au s Office Manager Administrator Attest: By: Xxxxxxx X. Xxxxx, Secretary By: Xxxxx Xxxxx, Xxxxx Allen County Deputy Auditor APPENDIX "A"

Form Affirmation Clause. The Undersigned swears or affirms under the penalties of perjury that the undersigned has not altered, modified or changed the clauses 1‐24 1-25 of the Commissioners form contract in any way except for the following clauses which are named below: IN TESTIMONY WHEREOF, the parties hereto have executed this Agreement. CONSULTANT LOCAL PUBLIC AGENCY Design Collaborative Apex Consulting and Surveying, Inc. The Board of Commissioners of the County of Xxxxx, Indiana By: By: Xxxxx Xxxxxx Xxxxxxx X. Xx Xxxxx, President Principal By: Attest: PLS Xxxxxxx X. Xxxx, Xx., President President By: Attest: X. Xxxxxx Xxxxxx, Vice President By: By: Xxxxx Xxxxx F. Xxxxxx XxxxxxXxxxxxxx Xxxxxxxxx, PE Xxxxxxx X. Xxxxx, Secretary Office Manager Business Development Attest: By: Xxxxx Xxxxx, Xxxxx County Deputy Auditor APPENDIX "A"

Form Affirmation Clause. The Undersigned swears or affirms under the penalties of perjury that the undersigned has not altered, modified or changed the clauses 1‐24 1-24 of the Commissioners form contract in any way except for the following clauses which are named below: IN TESTIMONY WHEREOF, the parties hereto have executed this Agreement. CONSULTANT LOCAL PUBLIC AGENCY Design Collaborative Xxxxx Xxxxx, Inc. The Board of Commissioners of the County of Xxxxx, Indiana By: By: Xxxxx Xxxxxx Xxxxxxx X. XxxxxXxxxxxx, President Principal By: Attest: P.E. Xxxxxxx X. Xxxx, Xx., President Vice President By: Attest: X. Xxxxxx Xxxxxx, Vice President By: By: Xxxxx Xxxxx F. Xxxxxx XxxxxxX. Xxxxxxxx, P.E. Xxxxxxx X. Xxxxx, Secretary Office Project Manager Attest: By: Xxxxx Xxxxx, Xxxxx County Deputy Auditor APPENDIX "A"

Form Affirmation Clause. The Undersigned swears or affirms under the penalties of perjury that the undersigned has not altered, modified or changed the clauses 1‐24 1-21 of the Commissioners form contract in any way except for the following clauses which are named below: IN TESTIMONY WHEREOF, the parties hereto have executed this Agreement. CONSULTANT LOCAL PUBLIC AGENCY Design Collaborative Xxxxx Xxxxx, Inc. The Board of Commissioners of the County of Xxxxx, Indiana By: By: Xxxxx Xxxxxx Xxxxxxx X. XxxxxXxxxxxxxx, P.E. F. Xxxxxx Xxxxxx, President Principal Sr. Vice President By: Attest: Xxxxxxx X. Xxxx, Xx.Xxxxx, Vice President By: By: Xxxxx Xxxxx F. Xxxxxx Xxxxxx, Secretary Office Manager Attest: By: Xxxxx Xxxxx, Xxxxx County Deputy Auditor APPENDIX "A":

Form Affirmation Clause. The Undersigned swears or affirms under the penalties of perjury that the undersigned has not altered, modified or changed the clauses 1‐24 1-21 of the Commissioners form contract in any way except for the following clauses which are named below: IN TESTIMONY WHEREOF, the parties hereto have executed this Agreement. CONSULTANT LOCAL PUBLIC AGENCY Design Collaborative Engineering Resources, Inc. The Board of Commissioners of the County of Xxxxx, Indiana By: By: Xxxxx Xxxxxx Xxxx Xxxxxxxx, Vice President Xxxxxxx X. Xxxxx, President Principal By: Attest: Xxxxxxx X. Xxxx, Xx.F. Xxxxxx Xxxxxx, Vice President By: By: Xxxxx Xxxxx F. Xxxxxx XxxxxxXxxx Xxxxxxxxxxx, President Xxxxxxx X. Xxxx Xx., Secretary Office Manager Attest: Xxxxx County Auditor By: Xxxxx Xxxxx, Xxxxx County Deputy Auditor APPENDIX "A"

Form Affirmation Clause. The Undersigned swears or affirms under the penalties of perjury that the undersigned has not altered, modified or changed the clauses 1‐24 1-24 of the Commissioners form contract in any way except for the following clauses which are named below: IN TESTIMONY WHEREOF, the parties hereto have executed this Agreement. CONSULTANT LOCAL PUBLIC AGENCY Design Collaborative USI CONSULTANTS, INC. The Board of Commissioners of the County of Xxxxx, Indiana By: By: Xxxxx Xxxxxx Xxxx X. Xxxxxx, PE Xxxxxxx X. Xxxxx, President Principal President By: Attest: Xxxxxxx X. Xxxx, Xx., Vice President By: By: Xxxxx Xxxxx F. Xxxxxx X. Xxxx XX, PE, PS, X.XXXX X. Xxxxxx Xxxxxx, Secretary Office Manager Vice President Attest: By: Xxxxx Xxxxx, Xxxxx County Deputy Auditor APPENDIX "A"

Form Affirmation Clause. The Undersigned swears or affirms under the penalties of perjury that the undersigned has not altered, modified or changed the clauses 1‐24 1-25 of the Commissioners form contract in any way except for the following clauses which are named below: IN TESTIMONY WHEREOF, the parties hereto have executed this Agreement. CONSULTANT LOCAL PUBLIC AGENCY Design Collaborative Apex Consulting and Surveying, Inc. The Board of Commissioners of the County of Xxxxx, Indiana By: By: Xxxxx Xxxxxx Xxxxxxx X. Xx Xxxxx, President Principal By: Attest: PLS Xxxxxxx X. Xxxx, Xx., President President By: Attest: X. Xxxxxx Xxxxxx, Vice President By: By: Xxxxx Xxxxx F. Xxxxxx XxxxxxXxxxxxxx Xxxxxxxxx, PE Xxxxxxx X. Xxxxx, Secretary Office Manager Business Development Attest: By: Xxxxx Xxxxx, Xxxxx Allen County Deputy Auditor APPENDIX "A"

Form Affirmation Clause. The Undersigned swears or affirms under the penalties of perjury that the undersigned has not altered, modified or changed the clauses 1‐24 1-24 of the Commissioners form contract in any way except for the following clauses which are named below: IN TESTIMONY WHEREOF, the parties hereto have executed this Agreement. CONSULTANT LOCAL PUBLIC AGENCY Design Collaborative Xxxxx Xxxxx, Inc. The Board of Commissioners of the County of Xxxxx, Indiana By: By: Xxxxx X. Xxxxxxx, P.E. F. Xxxxxx Xxxxxxx X. XxxxxXxxxxx, President Principal Vice President By: Attest: Xxxxxxx X. Xxxx, Xx.Xxxxx, Vice President By: By: Xxxxx Xxxxx F. Xxxxxx Xxxxxx, Secretary Office Manager Attest: By: Xxxxx Xxxxx, Xxxxx County Deputy Auditor APPENDIX "A":

Form Affirmation Clause. The Undersigned swears or affirms under the penalties of perjury that the undersigned has not altered, modified or changed the clauses 1‐24 of the Commissioners form contract in any way except for the following clauses which are named below: IN TESTIMONY WHEREOF, the parties hereto have executed this Agreement. CONSULTANT LOCAL PUBLIC AGENCY Design Collaborative VS Engineering, Inc. The Board of Commissioners of the County of Xxxxx, Indiana By: By: Xxxxx Xxxxxx Xxxxxxx X. Xxxxx, President Principal By: Attest: P.E. Xxxxxxx X. Xxxx, Xx., President President By: Attest: X. Xxxxxx Xxxxxx, Vice President By: By: Xxxxx Xxxxx F. Xxxxxx Xxxx X. Xxxxxx, P.E. Xxxxxxx X. Xxxxx, Secretary Office Manager Northern Region Director Attest: By: Xxxxx Xxxxx, Xxxxx County Deputy Auditor APPENDIX "A"

Form Affirmation Clause. The Undersigned swears or affirms under the penalties of perjury that the undersigned has not altered, modified or changed the clauses 1‐24 1-21 of the Commissioners form contract in any way except for the following clauses which are named below: IN TESTIMONY WHEREOF, the parties hereto have executed this Agreement. CONSULTANT LOCAL PUBLIC AGENCY Design Collaborative DLZ Indiana, LLC The Board of Commissioners of the County of Xxxxx, Indiana By: By: Xxxxx Xxxxxx X. Xxxxxxx, P.E. Xxxxxxx X. Xxxxx, President Principal Vice President By: Attest: Xxxxxxx X. Xxxx, Xx., Vice President By: By: Xxxxx Xxxxx X. Xxxxx, P.E. F. Xxxxxx Xxxxxx, Xxxxxx Secretary Office Department Manager Attest: By: Xxxxx Xxxxx, Xxxxx County Deputy Auditor APPENDIX "A"

Form Affirmation Clause. The Undersigned swears or affirms under the penalties of perjury that the undersigned has not altered, modified or changed the clauses 1‐24 1-24 of the Commissioners form contract in any way except for the following clauses which are named below: IN TESTIMONY WHEREOF, the parties hereto have executed this Agreement. CONSULTANT LOCAL PUBLIC AGENCY Design Collaborative Lochmueller Group, Inc. The Board of Commissioners of the County of Xxxxx, Indiana By: By: Xxxxx Xxxxxx Xxxxxxx X. Xxxxx, PE Xxxxxxx Xxxxx, President Principal Northern Indiana Regional Leader By: Attest: Xxxxxxx X. Xxxx, Xx., Vice President By: By: Xxxxx Xxxxx F. Xxxxxxx Xxxxxxxxx X. Xxxxxx Xxxxxx, Secretary Office Fort Xxxxx Region Manager Attest: By: Xxxxx Xxxxx, Xxxxx County Deputy Auditor Chief of Staff APPENDIX "A"" SERVICES BY CONSULTANT

Form Affirmation Clause. The Undersigned swears or affirms under the penalties of perjury that the undersigned has not altered, modified or changed the clauses 1‐24 of the Commissioners form contract in any way except for the following clauses which are named below: IN TESTIMONY WHEREOF, the parties hereto have executed this Agreement. CONSULTANT LOCAL PUBLIC AGENCY Design Collaborative The Board of Commissioners of the County of Xxxxx, Indiana By: By: Xxxxx Xxxxxx Xxxxxxx X. Xxxxx, President Principal By: Attest: Xxxxxxx X. Xxxx, Xx., Vice President By: Xxxxx Xxxxx Office Manager By: Xxxxx Xxxxx F. Xxxxxx Xxxxxx, Secretary Office Manager Attest: By: Xxxxx Xxxxx, Xxxxx County Deputy Auditor APPENDIX "A"

Form Affirmation Clause. The Undersigned swears or affirms under the penalties of perjury that the undersigned has not altered, modified or changed the clauses 1‐24 1-24 of the Commissioners form contract in any way except for the following clauses which are named below: IN TESTIMONY WHEREOF, the parties hereto have executed this Agreement. CONSULTANT LOCAL PUBLIC AGENCY Design Collaborative SES Environmental The Board of Commissioners of the County of Xxxxx, Indiana Verify/amend member titles & order By: By: Xxxxx Xxxx X Xxxxxx F. Xxxxxx Xxxxxx, President Senior Project Manager By: Attest: Xxxxxxx X. Xxxxx, Vice President Principal By: AttestBy: Xxxxxx Xxxx Xxxxxxx X. Xxxx, Xx., Secretary Vice President By: By: Xxxxx Xxxxx F. Xxxxxx XxxxxxPresident, Secretary Office Manager Business Operations Attest: By: Xxxxx Xxxxx, Xxxxx County Deputy Auditor APPENDIX "A"