SIGNATURE AND ACKNOWLEDGMENT. Insured has signed this agreement and received a copy of it. If Insured is a corporation, the person signing is an officer of that corporation authorized to sign this agreement. If the Insured is not a corporation, all Insureds listed in any policy have signed. AGENT OR BROKER REPRESENTATIONS AND WARRANTIES SIGNATURES GENUINE. To the best of our knowledge, the Insured's signature is genuine. AUTHORIZATION/RECOGNITION. The Insured has authorized this transaction. Both the Insured and the Agent/Xxxxxx recognize the security interest granted herein, pursuant to which the Insured assigns to FIRST all unearned premium and certain loss payments. Upon cancellation of any of the policies listed in the Schedule of Policies, the Agent/Xxxxxx agrees to immediately pay FIRST all unearned commissions and all unearned premiums and loss payments received. If such funds are not remitted to FIRST within 10 days of receipt by the Agent/Xxxxxx, the Agent/Xxxxxx agrees to pay FIRST interest on such funds at the maximum rate allowed by applicable law. POLICIES EFFECTIVE/PREMIUMS CORRECT. The policies listed in the Schedule of Policies are in full force and effect, and the premiums are correct as listed. INSURED HAS THIS DOCUMENT. The Insured has been given a copy of this agreement. NO INSOLVENCY. To the best of our knowledge, neither the Insured nor the insurance companies are insolvent or involved in a bankruptcy or similar proceeding as debtor, except as clearly indicated on page 1 of this agreement. FOR THE SCHEDULED POLICIES, AGENT OR BROKER WARRANTS THAT: DEPOSIT/PROVISIONAL PREMIUMS. Any Audit or Reporting Form policies or policies subject to retrospective rating included in this agreement are noted below in section (a). The deposit or provisional premiums for these policies are not less than the anticipated premiums to be earned for the full term of the policies.
SIGNATURE AND ACKNOWLEDGMENT. Grantor has executed this Modification with the specific intention of creating an instrument under seal as of the date first written above.
SIGNATURE AND ACKNOWLEDGMENT. Grantor has executed this Modification with the specific intention of creating an instrument under seal as of the date first written above. GRANTOR: OPTICAL CABLE CORPORATION, a Virginia corporation By: /s/ Xxxxx X. Xxxxx (SEAL) Xxxxx X. Xxxxx Chief Financial Officer and SVP COMMONWEALTH OF VIRGINIA CITY/COUNTY OF Roanoke , to wit: The foregoing instrument was acknowledged before me this 2nd day of May , 2018, by Xxxxx X. Xxxxx, as Chief Financial Officer and SVP of Optical Cable Corporation, a Virginia corporation, on behalf of the corporation. /s/ Xxxxxxx X. Xxxxx [SEAL] Printed Name: Xxxxxxx X. Xxxxx , Notary Public My commission expires: Feb 28, 2022 Registration Number: 7327086 BENEFICIARY: PINNACLE BANK, a Tennessee banking corporation By: /s/ Xxxxxxx X. Xxxxxx (SEAL) Xxxxxxx X. Xxxxxx Senior Vice President COMMONWEALTH OF VIRGINIA CITY OF ROANOKE, to-wit: The foregoing instrument was acknowledged before me this 2nd day of May , 2018, by Xxxxxxx X. Xxxxxx, Senior Vice President of Pinnacle Bank, a Tennessee banking corporation, on behalf of the corporation. /s/ Xxxxxxx X. Xxxxx [SEAL] Printed Name: Xxxxxxx X. Xxxxx , Notary Public My commission expires: Feb 28, 2022 Registration Number: 7327086
SIGNATURE AND ACKNOWLEDGMENT. In Witness Whereof I have hereunto signed my name on November 4th, 2009. PRINCIPAL signs here: = => /s/ Xxxxx Xxxxxx Xxxxx Xxxxxx, Secretary of Xxxxxx Corporation STATE OF NEW YORK ) ) ss.: COUNTY OF New York) On the 4th day of November , in the year 2009, before me, the undersigned, a Notary Public in and for said state, personally appeared Xxxxx Xxxxxx, personally known to me or proved to me on the basis of satisfactory evidence to be the person whose name is subscribed to the within instrument and acknowledged to me that he/she executed the same in his/her capacity, and that by his/her signature on the instrument, the person or the entity upon behalf of which the person acted, executed the instrument. /s/ Xxxx Xxxx Xxxxxx Notary Public
SIGNATURE AND ACKNOWLEDGMENT. For myself and/or with authority/permission of the entity named herein, I state the following: I have read, understand and agree to all provisions, terms and conditions set forth in Western Illinois Electrical Coop. Policy 526 - Interconnection and Parallel Operation of Distributed Generation. I desire to interconnect electric generating equipment to the low-voltage premises wiring at the applicable premises or facility. I desire to undertake Parallel Operation of such generating equipment with the electric system of the Cooperative as defined in Policy 526. I agree the Cooperative will evaluate and analyze the impact the proposed electric generation equipment may have on (i) the operations of Cooperative electric system and (ii) the quality of electric service provided to the Member/Owner of the Cooperative. The Cooperative has identified the fee associated with this application, which includes the costs of basic design evaluation. I understand the basic design evaluation may reveal the requirement for a detailed design evaluation, may require an upgrade to Cooperative infrastructure in order to maintain an adequate quality of electrical service to any and all Cooperative member/owners, or may impact a third-party utility in such a manner that such utility requires further studies and/or upgrades. I understand that to proceed with the interconnection application process and prior to interconnection, I am responsible for such additional fees and/or costs, pursuant to Policy 526. I understand that the application fee is non-refundable, regardless of the basic design application results, or if I decide to discontinue with the interconnection. I agree not to undertake Parallel Operation of any generating equipment on the low-voltage premises wiring at my property without the "Authorization to Energize" executed by the Cooperative. I further agree to allow the Cooperative to share pertinent interconnection information with the contracted installer of such renewable energy system. Applicant/Member-Owner, Print Name: Applicant/Member-Owner Signature: Date:
