Common use of ACKNOWLEDGMENT AND EXECUTION Clause in Contracts

ACKNOWLEDGMENT AND EXECUTION. This Contract may be executed in counterparts. The parties hereto have caused this Contract to be signed and intend to be legally bound thereby as follows: CITY CITY’S LEGAL COUNSEL Finance Department Xxxxxx City District Attorney Attn: Xxxxx Xxxxx, Purchasing & Contracts Administrator Purchasing and Contracts Department 000 Xxxxx Xxxxxx Xxxxxx, Suite 2 I have reviewed this Contract and approve Xxxxxx Xxxx, Xxxxxx 00000 as to its legal form. Telephone: 000-000-0000 Fax: 000-000-0000 XXxxxx@xxxxxx.xxx By: _ By: Xxxxx Xxxxxxx, Chief Financial Officer Deputy District Attorney Dated _ Dated _ CONTRACTOR will not be given authorization to begin work until this Contract has been signed by Purchasing and Contracts BY: Xxxxx Xxxxx Acct# 1012014 500309 Purchasing & Contracts Administrator 1012005 500332 By: _ Dated _ Undersigned deposes and says under penalty of perjury: That he/she is CONTRACTOR or authorized agent of CONTRACTOR; that he/she has read the foregoing Contract; and that he/she understands the terms, conditions and requirements thereof. CONTRACTOR BY: Xxxxxx X. XxXxxxxxxxx, Ph.D. FIRM: Sierra Psychological Associates, LLC XXXXXX CITY BUSINESS LICENSE #: 19-00017031 Address: 000 Xxxx Xxxxx Xxxxxx Xxxx: Xxxxxx Xxxx State: NV Zip Code: 89703 Telephone: 000-000-0000 E-mail Address: xxxxxxxxxxxxx@xxxxx.xxx (Signature of Contractor) DATED STATE OF ) County of ) )ss Signed and sworn (or affirmed before me on this day of , 20 . (Signature of Notary) (Notary Stamp)

ACKNOWLEDGMENT AND EXECUTION. This Contract may be executed in counterparts. The parties hereto have caused this Contract to be signed and intend to be legally bound thereby as follows: CITY CITY’S LEGAL COUNSEL Finance Department Executive Office Xxxxxx City District Attorney Attn: Xxxxx Xxxxx, Purchasing & Contracts Administrator Purchasing and Contracts Department 000 Xxxxx Xxxxxx Xxxxxx, Suite 2 I have reviewed this Contract and approve Xxxxxx Xxxx, Xxxxxx 00000 as to its legal form. Telephone: 000-000-0000 Fax: 000-000-0000 XXxxxx@xxxxxx.xxx By: _ By: Xxxxx Xxxxxxx, Chief Financial Officer Deputy District Attorney Dated _ Dated _ CONTRACTOR will not be given authorization to begin work until this Contract has been signed by Purchasing and Contracts BY: Xxxxx Xxxxx Acct# 1012014 500309 2101002 507705 Purchasing & Contracts Administrator 1012005 500332 By: _ Dated _ Undersigned deposes and says under penalty of perjury: That he/she is CONTRACTOR or authorized agent of CONTRACTOR; that he/she has read the foregoing Contract; and that he/she understands the terms, conditions and requirements thereof. CONTRACTOR BY: Xxxxxx X. XxXxxxxxxxx, Ph.D. Xxx XxXxxxx TITLE: District Manager FIRM: Sierra Psychological Associates, LLC XXXXXX CITY BUSINESS LICENSE #: 19-00017031 Firetrucks Unlimited Address: 000 Xxxx Xxxxx Xxxxxx Xxxx1175 Center Point Dr. City: Xxxxxx Xxxx Xxxxxxxxx State: NV Zip Code: 89703 89074 Telephone: 000-000-0000 E-mail Address: xxxxxxxxxxxxx@xxxxx.xxx xxx@xxxxxxxxxxxxxxxxxxx.xxx (Signature of Contractor) DATED STATE OF ) County of ) )ss Signed and sworn (or affirmed before me on this day of , 20 . (Signature of Notary) (Notary Stamp)

ACKNOWLEDGMENT AND EXECUTION. This Contract may be executed in counterparts. The parties hereto have caused this Contract to be signed and intend to be legally bound thereby as follows: CITY CITY’S LEGAL COUNSEL Finance Department Chief Financial Officer Xxxxxx City District Attorney Attn: Xxxxx XxxxxXxxxxx, Purchasing & Contracts Administrator Purchasing and Contracts Department 000 Xxxxx Xxxxxx Xxxxxx, Suite 2 3 I have reviewed this Contract and approve Xxxxxx Xxxx, Xxxxxx 00000 as to its legal form. Telephone: 000-000-0000 Fax: 000-000-0000 XXxxxx@xxxxxx.xxx XXxxxxx@xxxxxx.xxx By: _ By: Xxxxx Xxxxxxx, Chief Financial Officer Deputy District Attorney Dated _ Dated _ CONTRACTOR will not be given authorization to begin work until this Contract has been signed by Purchasing and Contracts BY: Xxxxx Xxxxx Acct# 1012014 500309 Xxxxxx, CPPB Account: 275-6809-441.03-09 Purchasing & and Contracts Administrator 1012005 500332 Department 101-6800-441.03-09 By: _ Dated _ Undersigned deposes and says under penalty of perjury: That he/she is CONTRACTOR or authorized agent of CONTRACTOR; that he/she has read the foregoing Contract; and that he/she understands the terms, conditions and requirements thereof. CONTRACTOR BY: Xxxxxx X. XxXxxxxxxxxXxxxx Xxxxxx, Ph.D. FIRM: Sierra Psychological Associates, LLC MD XXXXXX CITY BUSINESS LICENSE #: 1916-00017031 02077 Address: 000 X. Xxxx Xxxxx Xxxxxx XxxxStreet City: Xxxxxx Xxxx City State: NV Zip Code: 89703 Telephone: 000-000-0000 E-mail Address: xxxxxxxxxxxxx@xxxxx.xxx xxxxxxxxxxx@xxxxx.xxx (Signature of Contractor) DATED STATE OF ) County of ) )ss Signed and sworn (or affirmed before me on this day of , 20 . (Signature of Notary) (Notary Stamp)

ACKNOWLEDGMENT AND EXECUTION. This Contract may be executed in counterparts. The parties hereto have caused this Contract to be signed and intend to be legally bound thereby as follows: CITY CITY’S LEGAL COUNSEL Finance Department Xxxxxx City District Attorney Attn: Xxxxx Xxxxx, Purchasing & Contracts Administrator Purchasing and Contracts Department 000 Xxxxx Xxxxxx Xxxxxx, Suite 2 I have reviewed this Contract and approve Xxxxxx Xxxx, Xxxxxx 00000 as to its legal form. Telephone: 000-000-0000 Fax: 000-000-0000 XXxxxx@xxxxxx.xxx By: _ By: Xxxxx Xxxxxxx, Chief Financial Officer Deputy District Attorney Dated _ Dated _ CONTRACTOR will not be given authorization to begin work until this Contract has been signed by Purchasing and Contracts BY: Xxxxx Xxxxx Acct# 1012014 500309 101-6800-441-03-09 Purchasing & Contracts Administrator 1012005 500332 275-6809-441-03-09 By: _ Dated _ Undersigned deposes and says under penalty of perjury: That he/she is CONTRACTOR or authorized agent of CONTRACTOR; that he/she has read the foregoing Contract; and that he/she understands the terms, conditions and requirements thereof. CONTRACTOR BY: Xxxxxx X. XxXxxxxxxxxXxxxx Xxxxxx, Ph.D. FIRM: Sierra Psychological Associates, LLC MD XXXXXX CITY BUSINESS LICENSE #: 1918-00017031 00002077 Address: 000 X. Xxxx Xxxxx Xxxxxx XxxxStreet City: Xxxxxx Xxxx City State: NV Zip Code: 89703 Telephone: 000-000-0000 E-mail Address: xxxxxxxxxxxxx@xxxxx.xxx xxxxxxxxxxx@xxxxx.xxx (Signature of Contractor) DATED STATE OF ) County of ) )ss Signed and sworn (or affirmed before me on this day of , 20 . (Signature of Notary) (Notary Stamp)

ACKNOWLEDGMENT AND EXECUTION. This Contract may be executed in counterparts. The parties hereto have caused this Contract to be signed and intend to be legally bound thereby as follows: CITY CITY’S LEGAL COUNSEL Finance Department Xxxxxx Acting Chief Financial Officer Carson City District Attorney Attn: Xxxxx Xxxxx, Purchasing & Contracts Administrator Purchasing and Contracts Department 000 Xxxxx Xxxxxx Xxxxxx, Suite 2 I have reviewed this Contract and approve Xxxxxx XxxxCarson City, Xxxxxx 00000 Nevada 89701 as to its legal form. Telephone: 000-000-0000 Fax: 000-000-0000 XXxxxx@xxxxxx.xxx Xxxxxx@xxxxxx.xxx By: _ By: Xxxxx Xxxxxxx, Acting Chief Financial Officer Deputy District Attorney Dated _ Dated _ CONTRACTOR will not be given authorization to begin work until this Contract has been signed by Purchasing and Contracts BY: Xxxxx Xxxxx Acct# 1012014 500309 Xxxxx, CPPB Account #101-4310-412.08-22, Purchasing & Contracts Administrator 1012005 500332 #101-4505-412.03-67 By: _ Dated _ Undersigned deposes and says under penalty of perjury: That he/she is CONTRACTOR or authorized agent of CONTRACTOR; that he/she has read the foregoing Contract; and that he/she understands the terms, conditions and requirements thereof. CONTRACTOR BY: Xxxxxx X. XxXxxxxxxxx, Ph.D. Xxxx Xxxxx TITLE: Director FIRM: Sierra Psychological Associates, LLC XXXXXX Community Counseling Services CARSON CITY BUSINESS LICENSE #: 1917-00017031 0002345 Address: 000 Xxxx X. Xxxxx Xxxxxx XxxxStreet City: Xxxxxx Xxxx Carson City State: NV Zip Code: 89703 89701 Telephone: 000-000-0000 00000 E-mail Address: xxxxxxxxxxxxx@xxxxx.xxx xxxxxxxxxx@xxx.xxx (Signature of Contractor) DATED STATE OF ) County of ) )ss Signed and sworn (or affirmed before me on this day of , 20 . (Signature of Notary) (Notary Stamp)

ACKNOWLEDGMENT AND EXECUTION. This Contract may be executed in counterparts. The parties hereto have caused this Contract to be signed and intend to be legally bound thereby as follows: CITY CITY’S LEGAL COUNSEL Finance Department Xxxxxx City District Attorney Attn: Xxxxx Xxxxx, Purchasing & Contracts Administrator Purchasing and Contracts Department I have reviewed this Contract and approve 000 Xxxxx Xxxxxx Xxxxxx, Suite 2 I have reviewed this Contract and approve Xxxxxx Xxxx, Xxxxxx 00000 as to its legal form. Xxxxxx Xxxx, Xxxxxx 00000 Telephone: 000-000-0000 Fax: 000-000-0000 XXxxxx@xxxxxx.xxx xxxxxx@xxxxxx.xxx By: _ By: _ Xxxxx Xxxxxxx, Chief Financial Officer Deputy District Attorney Dated _ Dated _ CONTRACTOR CITY’S ORIGINATING DEPARTMENT CONSULTANT will not be given authorization to begin work until this Contract has been signed by Purchasing and Contracts BY: Xxxxx Xxxxx Acct# 1012014 500309 Account: 101-0715-419.03-09 Purchasing & Contracts Administrator 1012005 500332 By: _ Dated _ PROJECT CONTACT PERSON: Xxxxxxxxx Xxxxx, Real Property Manager Telephone: 000-000-0000 Undersigned deposes and says under penalty of perjury: That he/she is CONTRACTOR CONSULTANT or authorized agent of CONTRACTORCONSULTANT; that he/she has read the foregoing Contract; and that he/she understands the terms, conditions and requirements thereof. CONTRACTOR BY: Xxxxxx X. XxXxxxxxxxx, Ph.D. FIRM: Sierra Psychological Associates, LLC XXXXXX CITY BUSINESS LICENSE #: 19-00017031 Address: 000 Xxxx Xxxxx Xxxxxx Xxxx: Xxxxxx Xxxx State: NV Zip Code: 89703 Telephone: 000-000-0000 E-mail Address: xxxxxxxxxxxxx@xxxxx.xxx (Signature of Contractor) DATED STATE OF ) County of ) )ss Signed and sworn (or affirmed before me on this day of , 20 . (Signature of Notary) (Notary Stamp)CONSULTANT

ACKNOWLEDGMENT AND EXECUTION. This Contract may be executed in counterparts. The parties hereto have caused this Contract to be signed and intend to be legally bound thereby as follows: CITY CITY’S LEGAL COUNSEL Finance Department Xxxxxx City – Executive Office Xxxxxx City District Attorney Attn: Xxxxx Xxxxx, Purchasing & Contracts Administrator Purchasing and Contracts Department I have reviewed this Contract and approve 000 Xxxxx Xxxxxx Xxxxxx, Suite 2 I have reviewed this Contract and approve Xxxxxx Xxxx, Xxxxxx 00000 as to its legal form. Xxxxxx Xxxx, Xxxxxx 00000 Telephone: 000-000-0000 Fax: 000-000-0000 XXxxxx@xxxxxx.xxx By: _ By: Xxxxx Xxxxxxx, Chief Financial Officer Deputy District Attorney Dated _ Dated _ CONTRACTOR CITY’S ORIGINATING DEPARTMENT CONSULTANT will not be given authorization to begin work until this Contract has been signed by Purchasing and Contracts BY: Xxxxx Xxxxx Acct# 1012014 500309 Purchasing & Contracts Administrator 1012005 500332 Funding Source: 2101006 506508 By: _ Dated _ PROJECT CONTACT PERSON: Xxxxx Xxxxxxxxx, Acting Chief Information Officer Telephone: 000-0000 Undersigned deposes and says under penalty of perjury: That he/she is CONTRACTOR CONSULTANT or authorized agent of CONTRACTORCONSULTANT; that he/she has read the foregoing Contract; and that he/she understands the terms, conditions and requirements thereof. CONTRACTOR CONSULTANT BY: Xxxxxx X. XxXxxxxxxxx, Ph.D. Xxxxxxx Xxxxxxxx TITLE: Regional Vice President FIRM: Sierra Psychological AssociatesConvergeOne, LLC Inc. XXXXXX CITY BUSINESS LICENSE #: 19BL-001764-00017031 2020 Address: 000 0000 Xxxxxxx Xxxxx Xxxx Xxxxx Xxxxxx XxxxCity: Xxxxxx Xxxx Ontario State: NV CA Zip Code: 89703 91764 Telephone: 000-000-0000 E-mail Address: xxxxxxxxxxxxx@xxxxx.xxx XXxxxxxxx@xxxxxxxxxxx.xxx (Signature of ContractorConsultant) DATED STATE OF ) County of ) )ss Signed and sworn (or affirmed before me on this day of , 20 20_)_. (Signature of Notary) (Notary Stamp)

ACKNOWLEDGMENT AND EXECUTION. This Contract may be executed in counterparts. The parties hereto have caused this Contract to be signed and intend to be legally bound thereby as follows: CITY CITY’S LEGAL COUNSEL Finance Department Xxxxxx City District Attorney Attn: Xxxxx Xxxxx, Purchasing & Contracts Administrator Purchasing and Contracts Department I have reviewed this Contract and approve 000 Xxxxx Xxxxxx Xxxxxx, Suite 2 I have reviewed this Contract and approve Xxxxxx Xxxx, Xxxxxx 00000 as to its legal form. Xxxxxx Xxxx, Xxxxxx 00000 Telephone: 000-000-0000 Fax: 000-000-0000 XXxxxx@xxxxxx.xxx By: _ By: Xxxxx Xxxxxxx, Chief Financial Officer Deputy District Attorney Dated _ Dated _ CONTRACTOR CITY’S ORIGINATING DEPARTMENT CONSULTANT will not be given authorization to begin work until this Contract has been signed by Purchasing and Contracts BY: Xxxxx Xxxxx Acct# 1012014 500309 Purchasing & Contracts Administrator 1012005 500332 Account: WC #580-0704-415.03-09 Liability #590-0748-415.03-09 By: _ Dated _ Undersigned deposes and says under penalty of perjury: That he/she is CONTRACTOR CONSULTANT or authorized agent of CONTRACTORCONSULTANT; that he/she has read the foregoing Contract; and that he/she understands the terms, conditions and requirements thereof. CONTRACTOR CONSULTANT BY: Xxx Xxxxxx X. XxXxxxxxxxx, Ph.D. TITLE: Chief Operating Officer FIRM: Sierra Psychological AssociatesXxxxxx Xxxxxxx Management Services, LLC Inc. XXXXXX CITY BUSINESS LICENSE #: 19-00017031 00027536 Address: 000 0 Xxxx Xxxxx Xxxx Xxxxxx Xxxx: Xxxxxx Xxxx StateXxxxxxxx Xxxxx: NV IL Zip Code: 89703 61832 Telephone: 000-000-0000 E-mail Address: xxxxxxxxxxxxx@xxxxx.xxx xxxxxxx@xxxxx.xxx (Signature of ContractorConsultant) DATED STATE OF ) County of ) )ss Signed and sworn (or affirmed before me on this day of , 20 . (Signature of Notary) (Notary Stamp)

ACKNOWLEDGMENT AND EXECUTION. This Contract may be executed in counterparts. The parties hereto have caused this Contract to be signed and intend to be legally bound thereby as follows: CITY CITY’S LEGAL COUNSEL Finance Department Xxxxxx City District Attorney Attn: Xxxxx Xxxxx, Purchasing & Contracts Administrator Purchasing and Contracts Department 000 Xxxxx Xxxxxx Xxxxxx, Suite 2 I have reviewed this Contract and approve Xxxxxx Xxxx, Xxxxxx 00000 as to its legal form. Telephone: 000-000-0000 Fax: 000-000-0000 XXxxxx@xxxxxx.xxx By: _ By: Xxxxx Xxxxxxx, Chief Financial Officer Deputy District Attorney Dated _ Dated _ CONTRACTOR will not be given authorization to begin work until this Contract has been signed by Purchasing and Contracts BY: Xxxxx Xxxxx Acct# 1012014 500309 1014700 500815 Purchasing & Contracts Administrator 1012005 500332 By: _ Dated _ Undersigned deposes and says under penalty of perjury: That he/she is CONTRACTOR or authorized agent of CONTRACTOR; that he/she has read the foregoing Contract; and that he/she understands the terms, conditions and requirements thereof. CONTRACTOR BY: Xxxxxx X. XxXxxxxxxxx, Ph.D. FIRM: Sierra Psychological Associates, LLC XXXXXX CITY BUSINESS LICENSE #: 19-00017031 Address: 000 Xxxx Xxxxx Xxxxxx Xxxx: Xxxxxx Xxxx State: NV Zip Code: 89703 Telephone: 000-000-0000 E-mail Address: xxxxxxxxxxxxx@xxxxx.xxx (Signature of Contractor) DATED STATE OF ) County of ) )ss Signed and sworn (or affirmed before me on this day of , 20 . (Signature of Notary) (Notary Stamp)

ACKNOWLEDGMENT AND EXECUTION. This Contract may be executed in counterparts. The parties hereto have caused this Contract to be signed and intend to be legally bound thereby as follows: CITY CITY’S LEGAL COUNSEL Finance Department Xxxxxx City District Attorney Attn: Xxxxx Xxxxx, Purchasing & Contracts Administrator Purchasing and Contracts Department 000 Xxxxx Xxxxxx Xxxxxx, Suite 2 I have reviewed this Contract and approve Xxxxxx Xxxx, Xxxxxx 00000 as to its legal form. Telephone: 000-000-0000 Fax: 000-000-0000 XXxxxx@xxxxxx.xxx By: _ By: Xxxxx Xxxxxxx, Chief Financial Officer Deputy District Attorney Dated _ Dated _ CONTRACTOR will not be given authorization to begin work until this Contract has been signed by Purchasing and Contracts BY: Xxxxx Xxxxx Acct# 1012014 500309 5103201 500430 Purchasing & Contracts Administrator 1012005 500332 By: _ Dated _ Undersigned deposes and says under penalty of perjury: That he/she is CONTRACTOR or authorized agent of CONTRACTOR; that he/she has read the foregoing Contract; and that he/she understands the terms, conditions and requirements thereof. CONTRACTOR BY: Xxxxxx X. XxXxxxxxxxx, Ph.D. Xxxx FIRM: Sierra Psychological Associates, LLC XXXXXX CITY BUSINESS LICENSE #: 19-00017031 Andritz Separation Inc. Address: 000 Xxxx Xxxxx Xxxxxx 0000 Xxxxxxxxxx Xxxx. S. City: Xxxxxx Xxxx Arlington State: NV TX Zip Code: 89703 76001 Telephone: 000-000-0000 E-mail Address: xxxxxxxxxxxxx@xxxxx.xxx Xxxxxx.Xxxx@xxxxxxx.xxx (Signature of Contractor) DATED STATE OF ) County of ) )ss Signed and sworn (or affirmed before me on this day of , 20 . (Signature of Notary) (Notary Stamp)

ACKNOWLEDGMENT AND EXECUTION. This Contract may be executed in counterparts. The parties hereto have caused this Contract to be signed and intend to be legally bound thereby as follows: CITY CITY’S LEGAL COUNSEL Finance Department Xxxxxx City District Attorney Attn: Xxxxx Xxxxx, Purchasing & Contracts Administrator Purchasing and Contracts Department I have reviewed this Contract and approve 000 Xxxxx Xxxxxx Xxxxxx, Suite 2 I have reviewed this Contract and approve Xxxxxx Xxxx, Xxxxxx 00000 as to its legal form. Xxxxxx Xxxx, Xxxxxx 00000 Telephone: 000-000-0000 Fax: 000-000-0000 XXxxxx@xxxxxx.xxx By: _ By: Xxxxx Xxxxxxx, Chief Financial Officer Deputy District Attorney Dated _ Dated _ CONTRACTOR CITY’S ORIGINATING DEPARTMENT CONSULTANT will not be given authorization to begin work until this Contract has been signed by Purchasing and Contracts BY: Xxxxx Xxxxx Acct# 1012014 500309 Purchasing & Contracts Administrator 1012005 500332 Funding Source: 1014710 500820 By: _ Dated _ Undersigned deposes and says under penalty of perjury: That he/she is CONTRACTOR CONSULTANT or authorized agent of CONTRACTORCONSULTANT; that he/she has read the foregoing Contract; and that he/she understands the terms, conditions and requirements thereof. CONTRACTOR CONSULTANT BY: Xxxxxx X. XxXxxxxxxxx, Ph.D. FIRMXxxx Xxxxx TITLE: Sierra Psychological Associates, LLC Licensed Clinician XXXXXX CITY BUSINESS LICENSE #: 19-00017031 00012692 Address: 000 Xxxx Xxxxx 0000 Xxxxxx Xxxxxx Xxxx: Xxxxxx Xxxx State: NV Zip Code: 89703 Telephone: (000-) 000-0000 E-mail Address: xxxxxxxxxxxxx@xxxxx.xxx xxxxxxxxxx@xxx.xxx (Signature of ContractorConsultant) DATED STATE OF ) County of ) )ss Signed and sworn (or affirmed before me on this day of , 20 . (Signature of Notary) (Notary Stamp)