State Boilerplate Affirmation Clause. The State Educational Institution affirms under the penalties of perjury that it has 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: _____________________________ The undersigned attests, subject to the penalties for perjury, that the undersigned is the State Educational Institution, or that the undersigned is the properly authorized representative, agent, member or officer of the State Educational Institution. Further, to the undersigned’s knowledge, neither the undersigned nor any other member, employee, representative, agent or officer of the State Educational Institution, directly or indirectly, has entered into or been offered any sum of money or other consideration for the execution of this Contract 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 Contract, the State Educational Institution attests to compliance with the disclosure requirements in IC § 4-2-6-10.5.
Appears in 2 contracts
Samples: Contract Between the State and a State Educational Institution, Contract Between the State and a State Educational Institution
State Boilerplate Affirmation Clause. The State Educational Institution affirms I swear or affirm under the penalties of perjury that it has 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: _____________________________ none, unless noted as omitted. The undersigned attests, subject to the penalties for perjury, that the undersigned is the State Educational InstitutionContractor, or that the undersigned is the properly authorized representative, agent, member or officer of the State Educational InstitutionContractor. Further, to the undersigned’s knowledge, neither the undersigned nor any other member, employee, representative, agent or officer of the State Educational InstitutionContractor, directly or indirectly, has entered into or been offered any sum of money or other consideration for the execution of this Contract Amendment 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 ContractAmendment, the State Educational Institution Contractor attests to compliance with the disclosure requirements in IC § 4-4- 2-6-10.5.
Appears in 1 contract
Samples: Interlocal Cooperative Agreement
State Boilerplate Affirmation Clause. The State Educational Institution affirms I swear or affirm under the penalties of perjury that it has I have not altered, modified, changed or deleted the State’s 's standard contract clauses (as contained in the 2022 2021 OAG/ IDOA Professional Services Contract Manual or the 2021 SCM Template) in any way except as follows: _____________________________ The undersigned attests, subject to the penalties for perjury, that the undersigned is the State Educational InstitutionContractor, or that the undersigned is the properly authorized representative, agent, member or officer of the State Educational InstitutionContractor. Further, to the undersigned’s 's knowledge, neither the undersigned nor any other member, employee, representative, agent or officer of the State Educational InstitutionContractor, directly or indirectly, has entered into or been offered any sum of money or other consideration for the execution of this Contract 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 Contract, the State Educational Institution Contractor attests to compliance with the disclosure requirements in IC § 4-2-6-10.5.
Appears in 1 contract
Samples: Professional Services
State Boilerplate Affirmation Clause. The State Educational Institution affirms I swear or affirm under the penalties of perjury that it has I have not altered, modified, changed or deleted the State’s standard contract clauses (as contained in the 2022 2018 OAG/ IDOA Professional Services Contract Manual or the 2018 SCM Template) in any way except as follows: _____________________________ The undersigned attests, subject to the penalties for perjury, that the undersigned is the State Educational InstitutionContractor, or that the undersigned is the properly authorized representative, agent, member or officer of the State Educational InstitutionContractor. Further, to the undersigned’s 's knowledge, neither the undersigned nor any other member, employee, representative, agent or officer of the State Educational InstitutionContractor, directly or indirectly, has entered into or been offered any sum of money or other consideration for the execution of this Contract 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 Contract, the State Educational Institution Contractor attests to compliance with the disclosure requirements in IC § 4-2-6-10.5.
Appears in 1 contract
Samples: Master Services Agreement
State Boilerplate Affirmation Clause. The State Educational Institution affirms I swear or affirm under the penalties of perjury that it has I have not altered, modified, changed or deleted the State’s standard contract clauses (as contained in the 2022 2021 OAG/ IDOA Professional Services Contract Manual or the 2021 SCM Template) in any way except as follows: _____________________________ The undersigned attests, subject to the penalties for perjury, that the undersigned is the State Educational InstitutionContractor, or that the undersigned is the properly authorized representative, agent, member or officer of the State Educational InstitutionContractor. Further, to the undersigned’s knowledge, neither the undersigned nor any other member, employee, representative, agent or officer of the State Educational InstitutionContractor, directly or indirectly, has entered into or been offered any sum of money or other consideration for the execution of this Contract 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 Contract, the State Educational Institution Contractor attests to compliance with the disclosure requirements in IC § 4-2-6-10.5.
Appears in 1 contract
Samples: Professional Services