Common use of Source Clause in Contracts

Source. Executed at , North Dakota, the last date below signed. ATTEST: APPROVED: AUDITOR (TYPE OR PRINT) LPA of SIGNATURE NAME (TYPE OR PRINT) DATE SIGNATURE * TITLE DATE *Mayor, President or Chairperson of Commission CLA 19256 (Div. 38) X.X. Approved 4-12-93; 1-23 NORTH DAKOTA DEPARTMENT OF TRANSPORTATION APPENDIX A OF THE TITLE VI ASSURANCES During the performance of this contract, the Contractor, for itself, its assignees, and successors in interest (hereinafter referred to as the Contractor) agrees as follows:

Source. Executed at , North Dakota, the last date below signed. ATTEST: APPROVED: LPA of AUDITOR (TYPE OR PRINT) LPA of SIGNATURE NAME (TYPE OR PRINTPRINT ) DATE SIGNATURE * TITLE DATE *Mayor, Mayor or President or Chairperson of Commission CLA 19256 17058 (Div. 38) X.X. Approved 402-1218; Rev. 08-93; 1-23 18 NORTH DAKOTA DEPARTMENT OF TRANSPORTATION APPENDIX A OF THE TITLE VI ASSURANCES During the performance of this contract, the Contractor, for itself, its assignees, and successors in interest (hereinafter referred to as the Contractor) agrees as follows:

Source. Executed at , North Dakota, the last date below signed. ATTEST: APPROVED: AUDITOR (TYPE OR PRINT) LPA of SIGNATURE NAME (TYPE OR PRINT) DATE SIGNATURE * TITLE DATE *Mayor, President or Chairperson of Commission CLA 19256 (Div. 38) X.X. Approved 4-12-93; 110-23 22 NORTH DAKOTA DEPARTMENT OF TRANSPORTATION APPENDIX A OF THE TITLE VI ASSURANCES During the performance of this contract, the Contractor, for itself, its assignees, and successors in interest (hereinafter referred to as the Contractor) agrees as follows:

Source. Executed at , North Dakota, the last date below signed. ATTEST: APPROVED: AUDITOR (TYPE OR PRINT) LPA of SIGNATURE NAME (TYPE OR PRINT) DATE SIGNATURE * TITLE DATE *Mayor, President or Chairperson of Commission CLA 19256 (Div. 38) X.X. Approved 4-12-93; 19-23 19 NORTH DAKOTA DEPARTMENT OF TRANSPORTATION APPENDIX A OF THE TITLE VI ASSURANCES During the performance of this contract, the Contractor, for itself, its assignees, and successors in interest (hereinafter referred to as the Contractor) agrees as follows:

Source. Executed at , North Dakota, the last date below signed. ATTEST: APPROVED: AUDITOR (TYPE OR PRINT) LPA of SIGNATURE NAME (TYPE OR PRINTPRINT ) DATE SIGNATURE * TITLE DATE *Mayor, Mayor or President or Chairperson of Commission CLA 19256 17058 (Div. 38) X.X. Approved 402-1218; Rev. 08-9318; 1-23 C.M. 10/14/2021 NORTH DAKOTA DEPARTMENT OF TRANSPORTATION APPENDIX A OF THE TITLE VI ASSURANCES During the performance of this contract, the Contractor, for itself, its assignees, and successors in interest (hereinafter referred to as the Contractor) agrees as follows:

Source. Executed at , North Dakota, the last date below signed. ATTEST: APPROVED: AUDITOR (TYPE OR PRINT) LPA of SIGNATURE NAME (TYPE OR PRINTPRINT ) DATE SIGNATURE * TITLE DATE *Mayor, Mayor or President or Chairperson of Commission CLA 19256 17058 (Div. 38) X.X. Approved 402-1218; Rev. 09-93; 1-23 22 5 of 7 CLA 17058 (Div. 38) NORTH DAKOTA DEPARTMENT OF TRANSPORTATION APPENDIX A OF THE TITLE VI ASSURANCES During the performance of this contract, the Contractor, for itself, its assignees, and successors in interest (hereinafter referred to as the Contractor) agrees as follows:

Source. Executed at , North Dakota, the last date below signed. ATTEST: APPROVED: AUDITOR (TYPE OR PRINT) LPA of SIGNATURE NAME (TYPE OR PRINT) DATE SIGNATURE * TITLE DATE *Mayor, President or Chairperson of Commission CLA 19256 (Div. 38) X.X. Approved 4-12-93; 10-23 NORTH DAKOTA DEPARTMENT OF TRANSPORTATION APPENDIX 00 XXXXX XXXXXX XXXXXXXXXX XX XXXXXXXXXXXXXX XXXXXXXX A OF THE TITLE VI ASSURANCES During the performance of this contract, the Contractor, for itself, its assignees, and successors in interest (hereinafter referred to as the Contractor) agrees as follows:

Source. Executed at , North Dakota, the last date below signed. ATTEST: APPROVED: AUDITOR (TYPE OR PRINT) LPA of SIGNATURE NAME (TYPE OR PRINTPRINT ) DATE SIGNATURE * TITLE DATE *Mayor, Mayor or President or Chairperson of Commission CLA 19256 17058 (Div. 38) X.X. Approved 402-1218; Rev. 09-9322; 1-23 C.M. 04/17/2023 5 of 7 CLA 17058 (Div. 38) NORTH DAKOTA DEPARTMENT OF TRANSPORTATION APPENDIX A OF THE TITLE VI ASSURANCES During the performance of this contract, the Contractor, for itself, its assignees, and successors in interest (hereinafter referred to as the Contractor) agrees as follows:

Source. Executed at , North Dakota, the last date below signed. ATTEST: APPROVED: AUDITOR (TYPE OR PRINT) LPA of SIGNATURE NAME (TYPE OR PRINT) DATE SIGNATURE * TITLE DATE *Mayor, President or Chairperson of Commission CLA 19256 (Div. 38) X.X. Approved 4-12-93; 19-23 19; C.M. 10/22/2019 NORTH DAKOTA DEPARTMENT OF TRANSPORTATION APPENDIX A OF THE TITLE VI ASSURANCES During the performance of this contract, the Contractor, for itself, its assignees, and successors in interest (hereinafter referred to as the Contractor) agrees as follows: