Common use of State Boilerplate Affirmation Clause Clause in Contracts

State Boilerplate Affirmation Clause. I swear or affirm under the penalties of perjury that I have not altered, modified, changed or deleted the State's standard contract clauses (as contained in the 2022 SCM Template) in any way except as follows: Amendments -added Grant Funding-modified HIPAA Compliance-added Compliance with Audit and Reporting Requirements; Maintenance of Records-modified Provision Applicable to Grants with tax-funded State Educational Institutions: "Separateness" of the Parties -Deleted All references to Grant Application removed The undersigned attests, subject to the penalties for perjury, that the undersigned is the Grantee, or that the undersigned is the properly authorized representative, agent, member or officer of the Grantee. Further, to the undersigned's knowledge, neither the undersigned nor any other member, employee, representative, agent or officer of the Grantee, directly or indirectly, has entered into or been offered any sum of money or other consideration for the execution of this Grant Agreement other than that which appears upon the face hereof. Furthermore, if the undersigned has knowledge that a state officer, employee, or special state appointee, as those terms are defined in IC § 4-2-6-1, has a financial interest in the Grant, the Grantee attests to compliance with the disclosure requirements in IC § 4-2-6-10.5.

Appears in 2 contracts

Samples: Grant Agreement, Grant Agreement

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State Boilerplate Affirmation Clause. I swear or affirm under the penalties of perjury that I have not altered, modified, changed or deleted the State's standard contract clauses (as contained in the 2022 SCM Template) in any way except as follows: Amendments -added Grant Funding-modified HIPAA Compliance-added Compliance with Audit Implementation of and Reporting Requirements; Maintenance of Recordsreport on the Project-modified Order of Precedence; Incorporation by Reference-modified Project Monitoring by the State-modified Payment of Claims-modified Federal and State Third-Party Contract Provisions- Modified Provision Applicable to Grants with tax-funded State Educational Institutions: "Separateness" of the Parties -Deleted All references to Grant Application removed Representations and Warranties of the Grantee-modified Insurance-modified Compliance with Audit and Reporting Requirements; Maintenance of Records-modified The undersigned attests, subject to the penalties for perjury, that the undersigned is the Grantee, or that the undersigned is the properly authorized representative, agent, member or officer of the Grantee. Further, to the undersigned's knowledge, neither the undersigned nor any other member, employee, representative, agent or officer of the Grantee, directly or indirectly, has entered into or been offered any sum of money or other consideration for the execution of this Grant Agreement other than that which appears upon the face hereof. Furthermore, if the undersigned has knowledge that a state officer, employee, or special state appointee, as those terms are defined in IC § 4-2-6-1, has a financial interest in the Grant, the Grantee attests to compliance with the disclosure requirements in IC § 4-2-6-10.5.

Appears in 1 contract

Samples: Grant Agreement

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State Boilerplate Affirmation Clause. I swear or affirm under the penalties of perjury that I have not altered, modified, changed or deleted the State's standard contract clauses (as contained in the 2022 2019 OAG/ IDOA Professional Services Contract Manual or the 2019 SCM Template) in any way except as follows: Amendments -added Grant Funding-modified HIPAA Compliance-added Modified Compliance with Audit and Reporting Requirements; Maintenance of Records-modified Provision Provisions Applicable to Grants with tax-funded State Educational Institutions: "Separateness" of the Parties -Deleted All references to Grant Application removed “Separateness”-deleted HIPAA Compliance-added Amendments-added The undersigned attests, subject to the penalties for perjury, that the undersigned is the Grantee, or that the undersigned is the properly authorized representative, agent, member or officer of the Grantee. Further, to the undersigned's knowledge, neither the undersigned nor any other member, employee, representative, agent or officer of the Grantee, directly or indirectly, has entered into or been offered any sum of money or other consideration for the execution of this Grant Agreement other than that which appears upon the face hereof. Furthermore, if the undersigned has knowledge that a state officer, employee, or special state appointee, as those terms are defined in IC § 4-2-6-1, has a financial interest in the Grant, the Grantee attests to compliance with the disclosure requirements in IC § 4-2-6-10.5.

Appears in 1 contract

Samples: Grant Agreement

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