Signature Authority. Contractor represents and warrants that the individual signing this Contract Affirmations document is authorized to sign on behalf of Contractor and to bind the Contractor. Signature Page Follows Authorized representative on behalf of Contractor must complete and sign the following: Gulf Bend Mental Health Mental Retardation Center Legal Name of Contractor Gulf Bend Center Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Victoria County Texas County(s) for Assumed Business Name (d/b/a or ‘doing business as’) Attach Assumed Name Certificate(s) filed with the Texas Secretary of State and Assumed Name Certificate(s), if any, for each Texas County Where Assumed Name Certificate(s) has been filed. December 27, 2023 Signature of Authorized Representative Date Signed Xxxxxxx Xxxxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name Executive Director Title of Authorized Representative 0000 Xxxxxxx Xxxxx Xxxxxxxx Xxxxx 00000 Physical Street Address City, State, Zip Code Mailing Address, if different City, State, Zip Code 000-000-0000 Phone Number Fax Number xxxx0000@xxxxxxxx.xxx 010545598 Email Address DUNS Number 741659064 17416590648 Federal Employer Identification Number Texas Identification Number (TIN) 17416590648 17416590648 Texas Franchise Tax Number Texas Secretary of State Filing Number EJ7LBG1WFR55 XXX.xxx Unique Entity Identifier (UEI) Health and Human Services (HHS) Uniform Terms and Conditions - Grant Version 3.2 Published and Effective – July 2022 Responsible Office: Chief Counsel ABOUT THIS DOCUMENT In this document, Grantees (also referred to in this document as subrecipients or contractors) will find requirements and conditions applicable to grant funds administered and passed-through by both the Texas Health and Human Services Commission (HHSC) and the Department of State Health Services (DSHS). These requirements and conditions are incorporated into the Grant Agreement through acceptance by Grantee of any funding award by HHSC or DSHS. The terms and conditions in this document are in addition to all requirements listed in the RFA, if any, under which applications for this grant award are accepted, as well as all applicable federal and state laws and regulations. Applicable federal and state laws and regulations may include, but are not limited to: 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; requirements of th...
Signature Authority. Each party has the full power and authority to enter into and perform this Agreement, and the person signing this Agreement on behalf of each Party has been properly authority and empowered to enter into this Agreement.
Signature Authority. The parties executing this Agreement certify that they have the proper authority to bind their respective entities to all terms and conditions set forth herein.
Signature Authority. Contractor represents and warrants that the individual signing this Contract Affirmations document is authorized to sign on behalf of Contractor and to bind the Contractor. Signature Page Follows Authorized representative on behalf of Contractor must complete and sign the following: City of Harlingen Legal Name of Contractor Assumed Business Name of Contractor, if applicable (d/b/a Texas County(s) for Assumed Business Name (d/b/a Attach Assumed Name Certificate(s) filed with the Texas Secretary of State and Assumed Name Certificate(s), if any, for each Texas County Where Assumed Name Certificate(s) has been filed Signature o Xxx Xxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name September 8, 2021 f Authorized Representative Date Signed Harlingen Title of Authorized Representative 118 X. Xxxxx 78550 Physical Street Address City, State, Zip Code 000 X. Xxxxx Xxxxxxxxx, Texas 78550 Mailing Address, if different City, State, Zip Code 000-000-0000 78550 Phone Number Fax Number xxxxxx@xxxxxxxxxxx.xx 00-000-0000 Email Address DUNS Number 00-0000000 17460010477 Federal Employer Identification Number Texas Payee ID No. 11 digits N/A N/A
Signature Authority. Contractor represents and warrants that the individual signing this Contract Affirmations document is authorized to sign on behalf of Contractor and to bind the Contractor. REMAINDER OF XXXX INTENTIONALLY LEFT BLANK Authorized representative on behalf of Contractor must complete and sign the following: Hope Horizon, LLC Legal Name of Contractor Assumed Business Name of Contractor, if applicable (D.B.A. or ‘doing business as’) Texas County(s) for Assumed Business Name (D.B.A. or ‘doing business as’) Attach Assumed Name Certificate(s) for each County 3/5/2020 Signature of Authorized Representative Date Signed Xxxx X. Xxxxx CEO Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name Title of Authorized Representative 000 X Xxxxxxxxxx Xxx, Xxx 000 Xxxxxxxxxx, XX 00000 Physical Street Address City, State, Zip Code Mailing Address, if different City, State, Zip Code (000)000-0000 (000)000-0000 Phone Number Fax Number xxxxxxxxx@xxxxxxxxxxxxxx.xxx 041360130 Email Address DUNS Number 00-0000000 32028367541 Federal Employer Identification Number Texas Payee ID No. – 11 digits 32028367541 0800789878 Texas Franchise Tax Number Texas Secretary of State Filing
Signature Authority. Service Provider represents and warrants that the individual signing this contract is authorized to sign this document on behalf of Service Provider and to bind Service Provider under this contract. This contract shall be binding upon and shall inure to the benefit of TJJD and Service Provider and to their representatives, successors, and assigns.
Signature Authority. Each person signing this Agreement on behalf of a party warrants that he or she has full authority to sign this Agreement on that party's behalf.
Signature Authority. Contractor represents and warrants that the individual signing this Contract Affirmations document is authorized to sign on behalf of Contractor and to bind the Contractor. Signature Page Follows Authorized representative on behalf of Contractor must complete and sign the following: Legal Name of Contractor Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Texas County(s) for Assumed Business Name (d/b/a or ‘doing business as’) Attach Assumed Name Certificate(s) filed with the Texas Secretary of State and Assumed Name Certificate(s), if any, for each Texas County Where Assumed Name Certificate(s) has been filed. Signature of Authorized Representative Date Signed Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name Title of Authorized Representative Physical Street Address City, State, Zip Code Mailing Address, if different City, State, Zip Code Phone Number Fax Number Email Address DUNS Number Federal Employer Identification Number Texas Identification Number (TIN) Texas Franchise Tax Number Texas Secretary of State Filing Number XXX.xxx Unique Entity Identifier (UEI) Health and Human Services (HHS) Uniform Terms and Conditions - Grant Version 3.2 Published and Effective July 2022 Responsible Office: Chief Counsel ABOUT THIS DOCUMENT In this document, Grantees (also referred to in this document as subrecipients or contractors) will find requirements and conditions applicable to grant funds administered and passed-through by both the Texas Health and Human Services Commission (HHSC) and the Department of State Health Services (DSHS). These requirements and conditions are incorporated into the Grant Agreement through acceptance by Grantee of any funding award by HHSC or DSHS. The terms and conditions in this document are in addition to all requirements listed in the RFA, if any, under which applications for this grant award are accepted, as well as all applicable federal and state laws and regulations. Applicable federal and state laws and regulations may include, but are not limited to: 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; requirements of the entity that awarded the funds to HHS; Chapter 783 of the Texas Government Code; Texas and Contract Standards set forth in Title 34, Part 1, Chapter 20, Subchapter E, Division 4 of the Texas Administrative Code); the Texas Grant Management Standards (TxGMS) developed by the Texas ...
Signature Authority. Contractor represents and warrants that the individual signing this Contract is authorized to sign on behalf of Contractor and to bind the Contractor.
Signature Authority. The person signing this agreement hereby warrants that he/she has the legal authority to execute this agreement on behalf of the respective party, and that such binding authority has been granted by proper order, resolution, ordinance or other authorization of the entity. The other party is fully entitled to rely on this warranty and representation in entering into this Agreement.
