Agency Certification. As designated representatives of the agencies participating in the matching program, we certify that:
Agency Certification. In addition to the acceptance of this contract, I also certify that original copies of this signature page will be attached to all other exact copies of this contract.
Agency Certification. “In addition to the acceptance of this contract, I also certify that original copies of this signature page will be attached to all other copies of this contract.” THE PEOPLE OF THE STATE OF NEW YORK by___________________________________ Commissioner of Transportation ___________________________ Utility Owner by_________________________ APPROVED AS TO FORM ___________________________ Attorney General APPROVED ___________________________ State Comptroller STATE OF NEW YORK ) )ss.: COUNTY OF ) On this __________ day of ________________, before me personally came ____________________________, to me known, who, being by me duly sworn, did depose and say that he/she resides in , New York; that he/she is the _______________________________ of _______________________, the Utility Owner described in and which executed the above instrument; and that he/she signed his/her name thereto by order of the Board of Directors of said Utility Owner. ___________________________________
Agency Certification. In addition to the acceptance of this contract, I also certify that original copies of this signature page will be attached to all other exact copies of this contract. Attorney General: Approved: Xxxxxx X. XxXxxxxx, State Comptroller By: Date: APPENDIX A STANDARD CLAUSES FOR NEW YORK STATE CONTRACTS PLEASE RETAIN THIS DOCUMENT FOR FUTURE REFERENCE. October 2019 STANDARD CLAUSES FOR NYS CONTRACTS APPENDIX A TABLE OF CONTENTS Page 1. Executory Clause 3
Agency Certification. In addition to the acceptance of this Contract, I also certify that original copies of this signature page will be attached to all other exact copies of this contract." (Company Name) THE PEOPLE OF THE STATE OF NEW YORK By: By: Name: Title: Name: Title: Date: Federal I.D. No.: Date: OFFICE OF THE STATE COMPTROLLER: Xxxxxx XxXxxxxx, NYS Comptroller INDIVIDUAL, CORPORATION, PARTNERSHIP, OR LLC ACKNOWLEDGMENT STATE OF : SS.: COUNTY OF On the day of in the year 20 , before me personally appeared , known to me to be the person who executed the foregoing instrument, who, being duly sworn by me did depose and say that _he resides at , Town of , County of , State of ; and further that: [Check One] ( If an individual): _he executed the foregoing instrument in his/her name and on his/her own behalf. ( If a corporation): _he is the of , the corporation described in said instrument; that, by authority of the Board of Directors of said corporation, _he is authorized to execute the foregoing instrument on behalf of the corporation for purposes set forth therein; and that, pursuant to that authority, _he executed the foregoing instrument in the name of and on behalf of said corporation as the act and deed of said corporation. ( If a partnership): _he is the of , the partnership described in said instrument; that, by the terms of said partnership, _he is authorized to execute the foregoing instrument on behalf of the partnership for purposes set forth therein; and that, pursuant to that authority, _he executed the foregoing instrument in the name of and on behalf of said partnership as the act and deed of said partnership. ( If a limited liability company): _he is a duly authorized member of , LLC, the limited liability company described in said instrument; that _he is authorized to execute the foregoing instrument on behalf of the limited liability company for purposes set forth therein; and that, pursuant to that authority, _he executed the foregoing instrument in the name of and on behalf of said limited liability company as the act and deed of said limited liability company. Notary Public Registration No. State of: Appendix A STANDARD CLAUSES FOR NEW YORK STATE CONTRACTS [Text not included at this time because it is included elsewhere in the solicitation. Will be added when contract is finalized] Appendix B Office of General Services General Specifications Appendix C1 Contractor’s Proposal Appendix D
Agency Certification. As designated representatives of the agencies participating in the matching program, we certify that: (i) the matching program will be conducted without change; and (ii) the matching program has been conducted in compliance with the current agreement.
Agency Certification. As designated representatives of the agencies shown above, we certify that the subject matching program has been conducted in compliance with the existing computer matching agreement between the parties, and we also agree to conduct the matching program without change for one additional year, subject to the approval of the respective Data Integrity Boards. XXXX X. XXXXXX 302388 Digitally signed by XXXX X. XXXXXX 302388 Date: 2020.08.07 10:19:04 -04'00' SORRENTO.MICH Digitally signed by SORRENTO.XXXXXXX.V.139963 AEL.V.1399639162 9162 Date: 2020.09.03 10:38:44 -04'00' Xxxx Xxxxxx Xxxxxxx X. Sorrento Executive Director Director, Defense Manpower Data Center Compensation Service 0000 Xxxx Xxxxxx Drive Veterans Benefits Administration Suite 04E25 000 Xxxxxxx Xxx, XX Xxxxxxxxxx, XX 00000 Xxxxxxxxxx, XX 00000 9/03/2020 Date Date
Agency Certification. “In addition to the acceptance of this contract, I also certify that original copies of this signature page will be attached to all other copies of this contract.” APPROVED: MUNICIPALITY: _____________________________ By: ____________________________ Municipal Attorney (Title) STATE OF NEW YORK ) ) ss: COUNTY OF _________ ) On this ________ day of ____________, 20 ___, before me personally came _________________________________, to me known, who being by me duly sworn did depose and say that he/she is the __________________ of the Municipal Corporation described herein, and which executed the above instrument; that he/she knows the seal of such Municipality; that the seal affixed to said instrument is such corporate seal, that it was affixed by order of the legislative Body of said Municipal Corporation pursuant to a Resolution which was duly adopted on _________________ and to which a certified copy is attached and made a part hereof; and that he signed his name thereto by like order. ____________________________ Notary Public APPROVED FOR NYSDOT: APPROVED AS TO FORM: STATE OF NEW YORK ATTORNEY GENERAL By: ________________________ ________ For the Commissioner Date of Transportation By: _________________________________ Assistant Attorney General COMPTROLLER’S APPROVAL: By: __________________________________ For the New York State Comptroller Pursuant to State Finance Law §112 SCHEDULE A DESCRIPTION OF PROJECT, FUNDING AND DEPOSIT REQUIREMENTS. Is the project linked to a State project in the area? YES or No If linked to a State project, describe the State project: [Provide the contract number, brief title, project type, location, project limit, etc., etc. For example: The State project is Contract No. XX, titled XXXXXX, and is for the construction of XXXX in State Highway (S.H.) #XXXX in XXXXX County.] Description of the work to be performed on local facilities: [The CCTV [City, Town or Village – choose one] of CCTVNAME [for the City, Town or Village name] by Resolution No. XXXXX adopted on the XXX day of MMM, 20XX, requested and authorized the State Department of Transportation to proceed with the necessary arrangements to incorporate the construction of the lighting system located on Route number XX, [also known as ALTNAME - Provide the alternative name of the Route if such exists], [from STA X to STA XX - for station limits]] [The State in connection with our request has incorporated the local project with the work of PIN XXXXXX as set forth in the pla...
Agency Certification. In addition to the acceptance of this contract, I also certify that original copies of this signature page will be attached to all other exact copies of this contract. By: Xxxx, Vice President, Chair (Name Typed Here) By: Xxxxx X. Xxxx, Vice President of Administration Date: Date:
Agency Certification. “In addition to the acceptance of this contract, I also certify that original copies of this signature page will be attached to all other copies of this contract.” THE PEOPLE OF THE STATE OF NEW YORK by COMMISSIONER OF TRANSPORTATION CORPORATION by APPROVED AS TO FORM Attorney General APPROVED State Comptroller STATE OF NEW YORK ) )ss: COUNTY OF ) On this day of , 20 , before me personally came ,to me know, who, being by me duly sworn, did depose and say that he/she resides in the , New York; that he/she is the of the , the Transportation Corporation described in and which executed the above instrument; and that he/she signed his/her name thereto by order of the Board of Directors of Said Corporation Notary Public APPENDIX 13G UTILITY REIMBURSEMENT 13G-63 13G.1.4.2 Supplemental Agreement, Form A255 (6/03) This page is intentionally left blank. TO PROVIDE COMPENSATION FOR THE REMOVAL, RELOCATION, REPLACEMENT OF RECONSTRUCTION OF FACILITIES OWNED BY A TRANSPORTATION CORPORATION IN CONNECTION WITH PROJECT , PURSUANT TO SECTION 10, SUBDIVISION 24-b OF THE HIGHWAY LAW. This Supplemental Agreement made this day of ,20 , by and between The People of the State of New York, acting by and through the Commissioner of Transportation (hereinafter referred to as “Commissioner”), having his principal office in the Administration and Engineering Building, 0000 Xxxxxxxxxx Xxxxxx, Xxxxx Xxxxxx, xx xxx Xxxx and County of Albany and State of New York, and , a corporation organized pursuant to the Transportation Corporations Law or operating as a Transportation Corporations Law or operating as a transportation corporation (hereinafter referred to as “Corporation”), whose offices are located at .
