Common use of Agency Certification Clause in Contracts

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. In addition to the acceptance of this ContractFirst Amendment, I also certify that original copies of this signature page will be attached to all other exact copies of this contractFirst Amendment." (Company Name) OKI DATA AMERICAS, INC. THE PEOPLE OF THE STATE OF NEW YORK BySignature: BySignature: Printed Name: Printed Name Title: Title: NameFederal ID: TitleOffice of General Services Date: 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 2014 , 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 maintains on office 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. 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: Same date as next page 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 further that: , 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 DC1