PUBLIC CONTRACTS WITH NATURAL PERSONS. 24-76.5-101, et seq., C.R.S. Contractor, if a natural person eighteen (18) years of age or older, hereby swears and affirms under penalty of perjury that Contractor (i) is a citizen or otherwise lawfully present in the United States pursuant to federal law, (ii) shall comply with the provisions of §§24-76.5-101, et seq., C.R.S., and (iii) has produced one form of identification required by §24-76.5-103, C.R.S. prior to the Effective Date of this Contract.
PUBLIC CONTRACTS WITH NATURAL PERSONS. CRS §24-76.5-101. Contractor, if a natural person eighteen (18) years of age or older, hereby swears and affirms under penalty of perjury that he or she (a) is a citizen or otherwise lawfully present in the United States pursuant to federal law, (b) shall comply with the provisions of CRS §24-76.5-101 et seq., and (c) has produced one form of identification required by CRS §24-76.5-103 prior to the effective date of this contract.
PUBLIC CONTRACTS WITH NATURAL PERSONS. CRS §24-76.5-101. Contractor, if a natural person eighteen (18) years of age or older, hereby swears and affirms under penalty of perjury that he or she (a) is a citizen or otherwise lawfully present in the United States pursuant to federal law, (b) shall comply with the provisions of CRS §24-76.5-101 et seq., and (c) has produced one form of identification required by CRS §24-76.5-103 prior to the effective date of this contract. This page left intentionally blank. SIGNATURE PAGE Contract Routing Number: Insert CMS # THE PARTIES HERETO HAVE EXECUTED THIS CONTRACT DELETE BLUE TEXT BEFORE PRINTING Each person signing this Contract represents and warrants that he or she is duly authorized to execute this Contract and to bind the party authorizing his or her signature. CONTRACTOR INSERT-Contractor Name Insert-legal entity type STATE OF COLORADO Xxxx X. Xxxxxxxxxxxx, Governor Colorado Department of Public Health and Environment Xxxxx Xxxx, MD, MSPH, Executive Director and Chief Medical Officer Print Name of Authorized Individual By: Print Title of Authorized Individual Xxxx XxXxxxxx Purchasing and Contracting Section Director, CDPHE Signature of Authorized Individual Date Date PROGRAM APPROVAL Colorado Department of Public Health and Environment INSERT-Name of Authorized Individual INSERT-Official Title of Authorized Individual LEGAL REVIEW Xxxxxxx X. Xxxxxxx, Attorney General By: By: Signature of Authorized CDPHE Program Approver Signature – Senior Assistant Attorney General Date Date In accordance with §00-00-000 C.R.S., this Contract is not valid until signed and dated below by the State Controller or an authorized delegate. Ensure State Controller’s signature and date lines remain on this page. STATE CONTROLLER Xxxxxx Xxxxx, CPA, MBA, JD By: Effective Date:
PUBLIC CONTRACTS WITH NATURAL PERSONS. 24-76.5-101, et seq., C.R.S. County, if a natural person eighteen (18) years of age or older, hereby swears and affirms under penalty of perjury that County (i) is a citizen or otherwise lawfully present in the United States pursuant to federal law, (ii) shall comply with the provisions of §§24- 76.5-101, et seq., C.R.S., and (iii) has produced one form of identification required by §24-76.5-103, C.R.S. prior to the Effective Date of this Agreement.
PUBLIC CONTRACTS WITH NATURAL PERSONS. 24-76.5-101, et seq., C.R.S. Contractor, if a natural person eighteen (18) years of age or older, hereby swears and affirms under penalty of perjury that Contractor (i) is a citizen or otherwise lawfully present in the United States pursuant to federal law, (ii) shall comply with the provisions of §§24-76.5-101, et seq., C.R.S., and (iii) has produced one form of identification required by §24-76.5-103, C.R.S. prior to the Effective Date of this Contract. EXHIBIT B, INFORMATION TECHNOLOGY PROVISIONS This Exhibit regarding Information Technology Provisions (the “Exhibit”) is an essential part of the agreement between the State and Contractor as described in the Contract to which this Exhibit is attached. Unless the context clearly requires a distinction between the Contract and this Exhibit, all references to “Contract” shall include this Exhibit.
PUBLIC CONTRACTS WITH NATURAL PERSONS. 24-76.5-101, et seq., C.R.S. Contractor, if a natural person eighteen (18) years of age or older, hereby swears and affirms under penalty of perjury that Contractor (i) is a citizen or otherwise lawfully present in the United States pursuant to federal law, (ii) shall comply with the provisions of §§24-76.5-101, et seq., C.R.S., and (iii) has produced one form of identification required by §24-76.5-103, C.R.S. prior to the Effective Date of this Contract. Re v is e d 11 - 1 - 18 22. FEDERAL REQUIREMENTS Local Agency and/or their contractors, subcontractors, and consultants shall at all times during the execution of this Agreement strictly adhere to, and comply with, all applicable federal and State laws, and their implementing regulations, as they currently exist and may hereafter be amended. A summary of applicable federal provisions are attached hereto as Exhibit F, Exhibit I, Exhibit J, Exhibit K and Exhibit M are hereby incorporated by this reference.
PUBLIC CONTRACTS WITH NATURAL PERSONS. Vendor, if a natural person eighteen (18) years of age or older, hereby swears and affirms under penalty of perjury that he or she (a) is a citizen or otherwise lawfully present in the United States pursuant to federal law, (b) shall comply with the provisions of CRS §24-76.5-101 et seq., and (c) has produced a form of identification required by CRS §24-76.5-103 prior to the date vendor delivers goods or begins performing services under terms of the Agreement.
PUBLIC CONTRACTS WITH NATURAL PERSONS. Grantee, if a natural person 18 years of age or older, hereby swears and affirms under penalty of perjury that the person (a) is a citizen or otherwise lawfully present in the United States pursuant to federal law, (b) shall comply with the provisions of CRS §24- 76.5-101 et seq., and (c) has produced a form of identification required by CRS §24-76.5-103 prior to the date Grantee begins Work under terms of the Agreement. ADDENDUM 1: Additional Terms & Conditions for Information Technology IF ANY PART OF THE SUBJECT MATTER OF THIS AGREEMENT IS INFORMATION TECHNOLOGY, AS DEFINED IN CRS § 24-37.5-102 (2), THE FOLLOWING PROVISIONS ALSO APPLY TO THIS AGREEMENT.
PUBLIC CONTRACTS WITH NATURAL PERSONS. C.R.S. §24- 76.5-101, et seq.
PUBLIC CONTRACTS WITH NATURAL PERSONS. 24-76.5-101, et seq., C.R.S. Subrecipient, if a natural person eighteen (18) years of age or older, hereby swears and affirms under penalty of perjury that Subrecipient (i) is a citizen or otherwise lawfully present in the United States pursuant to federal law, (ii) shall comply with the provisions of §§24-76.5-101, et seq., C.R.S., and (iii) has produced one form of identification required by §24-76.5-103, C.R.S. prior to the Effective Date of this Contract. EXHIBIT A, STATEMENT OF WORK AND BUDGET EXHIBIT B, SAMPLE OPTION LETTER State Agency Department of Transportation Option Letter Number Insert the Option Number (e.g. "1" for the first option) Subrecipient Insert Grantee's Full Legal Name, including "Inc.", "LLC", etc... Original Agreement Number Insert CMS number or Other Contract Number of the Original Contract Subaward Agreement Amount Federal Funds Maximum Amount (%) $0.00 Option Agreement Number Insert CMS number or Other Contract Number of this Option Local Funds Local Match Amount (%) $0.00 Agreement Performance Beginning Date The later of the Effective Date or Month, Day, Year Agreement Total $0.00 Current Agreement Expiration Date Month, Day, Year
