VACCINATION CERTIFICATION Sample Clauses

VACCINATION CERTIFICATION. 🞎 I hereby certify that all (Contractor Name) employees and subcontractors who will be working on Contract No. are fully vaccinated against COVID- 19, being tested on a weekly basis, or are exempt pursuant to a valid reasonable accommodation under state or federal law. Please do not include any of your employees’ medical documentation, including vaccination records or test results. Date: Signature: Printed Name: Title: EXHIBIT CONTRACTOR COVID-19 VACCINATION QUARTERLY COMPLIANCE CERTIFICATION By Email: Please complete the report below and return it to: xxxxxxxxxxxxxxxxxxxxx@xxxxxxxxxxx.xx. 🞎 I hereby certify that all (Contractor Name) employees and subcontractors working on Contract No. are fully vaccinated against COVID-19, being tested on a weekly basis, or are exempt pursuant to a valid reasonable accommodation under state or federal law. Please do not include any of your employees’ medical documentation, including vaccination records or test results. Date: Signature: Printed Name and Title: Company Name:
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VACCINATION CERTIFICATION. Pursuant to Proclamation 21-14 – COVID-19 Vaccination Requirement (dated August 9, 2021) as amended by Proclamation 21-14.1 – COVID-19 Vaccination Requirement (dated August 20, 2021) (“Proclamation”) all contractors and any of their employees and/or subcontractors who provide contracted services on-site must certify that they are fully vaccinated against the COVID-19 virus, unless properly excepted or exempted for disability or sincerely held religious beliefs as set forth in the Proclamation. Contractors who cannot so certify are prohibited from contracting with the state.
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VACCINATION CERTIFICATION. 🞎 I hereby certify that I Xx. Xxxxx Xxxxxxxxxxxx, MD working on Contract No. 21-DHS-EP-405 am fully vaccinated against COVID- 19, or being tested on a weekly basis, or are exempt pursuant to a valid reasonable accommodation under state or federal law. 9/9/2022 Date: Signature: Printed Name: Xx. Xxxxxxxxxxxx Title: Physician EXHIBIT G CONTRACTOR COVID-19 VACCINATION QUARTERLY COMPLIANCE CERTIFICATION By Email: Please complete the report below and return it to: xxxxxxxxxxxxxxxxxxxxx@xxxxxxxxxxx.xx. 🞎 I hereby certify that Xx. Xxxxx Xxxxxxxxxxxx, MD fully vaccinated against COVID-19, or being tested on a weekly basis, or are exempt pursuant to a valid reasonable accommodation under state or federal law. Date: 9/9/2022 Signature: Printed Name and Title: Dr. PutchakayaPlhaysician Company Name: _Xxxxx Xxxxxxxxxxxx, MD, PLLC
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VACCINATION CERTIFICATION. 🞎 I hereby certify that all National Capital Treatment and Recovery employees and subcontractors who will be working on Contract No. 20-709-EP are fully vaccinated against COVID- 19, or being tested on a weekly basis, or are exempt pursuant to a valid reasonable accommodation under state or federal law. Please do not include any of your employees’ medical documentation, including vaccination records or test results. 6/1/2022 Date: Signature: Printed Name: Xxxx Xxxxx Title: VHC Director of Security & Parking EXHIBIT D CONTRACTOR COVID-19 VACCINATION QUARTERLY COMPLIANCE CERTIFICATION By Email: Please complete the report below and return it to: xxxxxxxxxxxxxxxxxxxxx@xxxxxxxxxxx.xx. 🞎 I hereby certify that all National Capital Treatment and Recovery employees and subcontractors working on Contract No. 20-709-EP are fully vaccinated against COVID-19, or being tested on a weekly basis, or are exempt pursuant to a valid reasonable accommodation under state or federal law. Please do not include any of your employees’ medical documentation, including vaccination records or test results. 6/1/2022 Date: Signature: Xxxx Xxxxx Printed Name and Title: VHC Director of Security & Parking Company Name: _VHC Health (Virginia Hospital Center)
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VACCINATION CERTIFICATION. Pacifica Senior Living Sterling 🞎 I hereby certify that all (Contractor Name) employees and subcontractors who will be working on Contract No. 20-964-EP are fully vaccinated against COVID-19, or being tested on a weekly basis, or are exempt pursuant to a valid reasonable accommodation under state or federal law. Please do not include any of your employees’ medical documentation, including vaccination records or test results. 5/18/2022 Date: Signature: Xxxxxxxx Xxxxx Printed Name: Title: Executive Director DocuSign Envelope ID: F88D70DE-AFAD-43F7-BE6D-6D0C307A95A5 EXHIBIT B CONTRACTOR COVID-19 VACCINATION QUARTERLY COMPLIANCE CERTIFICATION By Email: Please complete the report below and return it to: xxxxxxxxxxxxxxxxxxxxx@xxxxxxxxxxx.xx. 🞎 Pacifica Senior Living Sterling I hereby certify that all (Contractor Name) employees and subcontractors who will be working on Contract No. 20-964-EP are fully vaccinated against COVID-19, or being tested on a weekly basis, or are exempt pursuant to a valid reasonable accommodation under state or federal law. Please do not include any of your employees’ medical documentation, including vaccination records or test results. 5/18/2022 Date: Signature: Xxxxxxxx Xxxxx Printed Name and Title: Company Name: Pacifica Senior Living Sterling
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VACCINATION CERTIFICATION. 🞎 Arlington Public Schools I hereby certify that all (Contractor Name) employees and subcontractors who will be working on Contract No. 22-DHS-EP-20 are fully vaccinated against COVID- 19, or being tested on a weekly basis, or are exempt pursuant to a valid reasonable accommodation under state or federal law. Please do not include any of your employees’ medical documentation, including vaccination records or test results. 6/28/2022 Date: Signature: Printed Name: Dr. Xxxxxxxxx Xxxxx Title: Superintendent EXHIBIT F CONTRACTOR COVID-19 VACCINATION QUARTERLY COMPLIANCE CERTIFICATION By Email: Please complete the report below and return it to: xxxxxxxxxxxxxxxxxxxxx@xxxxxxxxxxx.xx. 🞎 I hereby certify that all Arlington Public Schools (Contractor Name) employees and subcontractors working on Contract No. or being 22-DHS-EP-20 are fully vaccinated against COVID-19, tested on a weekly basis, or are exempt pursuant to a valid reasonable accommodation under state or federal law. Please do not include any of your employees’ medical documentation, including vaccination records or test results. Date: 6/28/2022 Signature: Printed Name and Title: Dr. FranciscoSDuuprearnintendent Company Name: _Arlington Public Schools
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VACCINATION CERTIFICATION. Where the terms and provisions of this Agreement vary from the terms and provisions of the other Contract Documents, the order of precedence of the Contract Documents shall be as follows: Attachments A, B and C are considered complementary documents, what is in one shall be considered as in all; where the terms of these Contract Documents vary the most stringent shall apply; and Attachments A, B and C shall prevail over Attachment F. The Contract Documents set forth the entire agreement between the County and the Contractor. The County and the Contractor agree that no representative or agent of either party has made any representation or promise with respect to the parties’ agreement that is not contained in the Contract Documents. The Contract Documents may be referred to below as the “Contract” or the “Agreement”.
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Related to VACCINATION CERTIFICATION

  • COMPENSATION CERTIFICATION Labor Code Section 3700 in relevant part provides: Every employer except the State shall secure the payment of compensation in one or more of the following ways: • By being insured against liability to pay compensation by one or more insurers duly authorized to write compensation insurance in this State. • By securing from the Director of Industrial Relations a certificate of consent to self-insure, which may be given upon furnishing satisfactory proof to the Director of Industrial Relations of ability to self-insure and to pay any compensation that may become due to its employees. I am aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for workers’ compensation or to undertake self-insurance in accordance with the provisions of that code, and I will comply with such provisions before commencing the performance of the Work of this Contract. Date: Name of Consultant: Signature: Print Name and Title: (In accordance with Article 5 – commencing at Section 1860, Chapter 1, part 7, Division 2 of the Labor Code, the above certificate must be signed and filed with the District prior to performing any Work under this Contract.) EXHIBIT “A” DESCRIPTION OF SERVICES TO BE PERFORMED BY CONSULTANT

  • Completion Certificate (i) Upon completion of all Works forming part of the Project Highway, and the Authority’s Engineer determining the Tests to be successful and after the receipt of notarized true copies of the certificate(s) of insurance, copies of insurance policies and premium payment receipts in respect of the insurance defined in Article 20 and Schedule P of this Agreement, it shall, at the request of the Contractor forthwith issue to the Contractor and the Authority a certificate substantially in the form set forth in Schedule-L (the “Completion Certificate”).

  • DEBARMENT AND SUSPENSION CERTIFICATION 2 A. CONTRACTOR certifies that it and its principals:

  • Lobbying Certification By execution of this contract with the Agency the Contractor thereby certifies, to the best of his or her knowledge and belief, that:

  • Contractor Certification The Department may, at its option, terminate the Contract if the Contractor is found to have submitted a false certification as provided under section 287.135(5), F.S., or been placed on the Scrutinized Companies with Activities in Sudan List or the Scrutinized Companies with Activities in the Iran Petroleum Energy Sector List, or been engaged in business operations in Cuba or Syria, or to have been placed on the Scrutinized Companies that Boycott Israel List or is engaged in a boycott of Israel.

  • TRUTH IN NEGOTIATION CERTIFICATE Signature of this Contract by the CONTRACTOR shall act as the execution of the truth-in- negotiation certificate certifying that the wage rates and costs used to determine the compensation provided for in this Contract are accurate, complete and current as of the date of the Contract and no higher than those charged the CONTRACTOR’S most favored customer for the same or substantially similar service. The said rates and costs shall be adjusted to exclude any significant sums should the COUNTY determine that the rates and costs were increased due to inaccurate, incomplete or non-current wage rates or due to inaccurate representations of fees paid to outside Contractors. The COUNTY shall exercise its right under this “Certificate” within one (1) year following final payment.

  • Drug-Free Workplace Certification As required by Executive Order No. 90-5 dated April 12, 1990, issued by the Governor of Indiana, the Contractor hereby covenants and agrees to make a good faith effort to provide and maintain a drug-free workplace. The Contractor will give written notice to the State within ten (10) days after receiving actual notice that the Contractor, or an employee of the Contractor in the State of Indiana, has been convicted of a criminal drug violation occurring in the workplace. False certification or violation of this certification may result in sanctions including, but not limited to, suspension of contract payments, termination of this Contract and/or debarment of contracting opportunities with the State for up to three (3) years. In addition to the provisions of the above paragraph, if the total amount set forth in this Contract is in excess of $25,000.00, the Contractor certifies and agrees that it will provide a drug-free workplace by:

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