Common use of LITIGATION STATEMENT Clause in Contracts

LITIGATION STATEMENT. CHECK ONE [ ] The undersigned quoter has had no litigation and/or judgments entered against it by any local, state or federal entity and has had no litigation and/or judgments entered against such entities during the past ten (10) years. [ ] The undersigned quoter, BY ATTACHMENT TO THIS FORM, submits a summary and disposition of individual cases of litigation and/or judgments entered by or against any local, state or federal entity, by any state or federal court, during the past ten (10) years. ___________________________________ COMPANY NAME ___________________________________ AUTHORIZED SIGNATURE ___________________________________ NAME (PRINT OR TYPE) ___________________________________ TITLE Failure to check the appropriate blocks above may result in disqualification of your quote. Likewise, failure to provide documentation of a possible conflict of interest, or a summary of past litigation and/or judgments, may result in disqualification of your quote. E VERIFICATION CERTIFICATION RFQ NO. Y23-165-JF NAME OF CONTRACTOR: “Contractor”)

LITIGATION STATEMENT. CHECK ONE [ ] The undersigned quoter has had no litigation and/or judgments entered against it by any local, state or federal entity and has had no litigation and/or judgments entered against such entities during the past ten (10) years. [ ] The undersigned quoter, BY ATTACHMENT TO THIS FORM, submits a summary and disposition of individual cases of litigation and/or judgments entered by or against any local, state or federal entity, by any state or federal court, during the past ten (10) years. ___________________________________ COMPANY NAME ___________________________________ AUTHORIZED SIGNATURE ___________________________________ NAME (PRINT OR TYPE) ___________________________________ TITLE Failure to check the appropriate blocks above may result in disqualification of your quote. Likewise, failure to provide documentation of a possible conflict of interest, or a summary of past litigation and/or judgments, may result in disqualification of your quote. E VERIFICATION CERTIFICATION RFQ NO. Y23Y24-165108-JF NAME OF CONTRACTOR: ______________________________ (referred to herein as “Contractor”)) ADDRESS OF CONTRACTOR:

LITIGATION STATEMENT. CHECK ONE [ ] The undersigned quoter has had no litigation and/or judgments entered against it by any local, state or federal entity and has had no litigation and/or judgments entered against such entities during the past ten (10) years. [ ] The undersigned quoter, BY ATTACHMENT TO THIS FORM, submits a summary and disposition of individual cases of litigation and/or judgments entered by or against any local, state or federal entity, by any state or federal court, during the past ten (10) years. ___________________________________ COMPANY NAME ___________________________________ AUTHORIZED SIGNATURE ___________________________________ NAME (PRINT OR TYPE) ___________________________________ TITLE Failure to check the appropriate blocks above may result in disqualification of your quote. Likewise, failure to provide documentation of a possible conflict of interest, or a summary of past litigation and/or judgments, may result in disqualification of your quote. E VERIFICATION CERTIFICATION RFQ NO. Y23Y24-165107-JF NAME OF CONTRACTOR: ______________________________ (referred to herein as “Contractor”)) ADDRESS OF CONTRACTOR: