Stockholder Disclosure Certification Sample Clauses
Stockholder Disclosure Certification. Name of Business: Check the box that represents the type of business organization: Sign and notarize the form below, and, if necessary, complete the stockholder list below.
Stockholder Disclosure Certification. PROPOSAL FORM 17: GENERAL TERMS AND CONDITIONS ACCEPTANCE FORM Check one of the following responses to the General Terms and Conditions in this solicitation, including the Master Agreement: ☒ We take no exceptions/deviations to the general terms and conditions (Note: If none are listed below, it is understood that no exceptions/deviations are taken.) ☐ We take the following exceptions/deviations to the general terms and conditions. All exceptions/deviations must be clearly explained. Reference the corresponding general terms and conditions that you are taking exceptions/deviations to. Clearly state if you are adding additions terms and conditions to the general terms and conditions. Provide details on your exceptions/deviations below: (Note: Unacceptable exceptions shall remove your proposal from consideration for award. CCOG shall be the sole judge on the acceptance of exceptions/deviations and the decision shall be final.) PROPOSAL FORM 18: EQUALIS GROUP ADMINISTRATION AGREEMENT DECLARATION
Stockholder Disclosure Certification. Name of Business Attachment B
Stockholder Disclosure Certification. Name of Business: Check the box that represents the type of business organization: Sign and notarize the form below, and, if necessary, complete the stockholder list below. Kyndryl has uploaded its exceptions/deviations to T&C in Supplemental Documents. Contract Section Exception or Proposed Revision
Stockholder Disclosure Certification. Name of Business: Check the box that represents the type of business organization: Sign and notarize the form below, and, if necessary, complete the stockholder list below. *Please note that if awarded and requested EC America, Inc. and relevant partners will complete the New Jersey forms/requirement. Proposal Form 17: General Terms and Conditions Acceptance Form
Stockholder Disclosure Certification. Name of Business: Premium Parking Service, L.L.C. ☒ I certify that the list below contains the names and home addresses of all stockholders holding 10% or more of the issued and outstanding stock of the undersigned. ☐ I certify that no one stockholder owns 10% or more of the issued and outstanding stock of the undersigned. Check the box that represents the type of business organization: ☐ Partnership ☐ Corporation ☐ Sole Proprietorship ☐ Limited Partnership ☒ Limited Liability Corporation ☐ Limited Liability Partnership ☐ Subchapter S Corporation Name: Xxxxx X. Xxxxx Name: Xxxxxxxx Xxxxxxxxxx Home Address: 0000 Xxxxxxx Xx, New Orleans LA 70118 Home Address: 000 Xxxxxxxx Xxx, Xxxxxxxx XX 00000 Name: Stockholder Name Name: Stockholder Name Home Address: Home Address Home Address: Home Address Name: Stockholder Name Name: Stockholder Name Home Address: Home Address Home Address: Home Address Subscribed and sworn before me this day of , 2 . (Notary Public) My Commission expires: _________________________________ (Affiant) ________________________________ (Print name & title of affiant) (Corporate Seal) Sign and notarize the form below, and, if necessary, complete the stockholder list below. Stockholders: PROPOSAL FORM 19: GENERAL TERMS AND CONDITIONS ACCEPTANCE FORM Check one of the following responses to the General Terms and Conditions in this solicitation, including the Master Agreement: ☐ We take no exceptions/deviations to the general terms and conditions. (Note: If none are listed below, it is understood that no exceptions/deviations are taken.) ☒ We take the following exceptions/deviations to the general terms and conditions. All exceptions/deviations must be clearly explained. Reference the corresponding general terms and conditions that you are taking exceptions/deviations to. Clearly state if you are adding additions terms and conditions to the general terms and conditions. Provide details on your exceptions/deviations below: Premium self-insures its business personal property. We ask that the Master Agreement be modified to clarify that self-insurance of business personal property is acceptable to meet the requirements listed in Section 2.8. (Note: Unacceptable exceptions shall remove your proposal from consideration for award. CCOG shall be the sole judge on the acceptance of exceptions/deviations and the decision shall be final.) PROPOSAL FORM 20: EQUALIS GROUP ADMINISTRATION AGREEMENT DECLARATION Attachment A - Sample Administration Agreement o...