Common use of Agreement to Use Electronic Signatures Clause in Contracts

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: xxxxx://xx.xxxx.xx.xxx/psp/guest/SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNTRCTS.GBL? In Witness Whereof, the Contractor and the State have, through their duly authorized representatives, entered into this Contract. The parties, having read and understood the foregoing terms of this Contract, do by their respective signatures dated below agree to the terms thereof. [Contractor] [Indiana Agency] By: _________________________________ By: _______________________________ _____________________________________ ___________________________________ Name and Title, Printed Name and Title, Printed Date: _____________________________ Date: ___________________________ Approved by: Approved by: Indiana Department of Administration State Budget Agency By: ________________________________(for) By: _______________________________ (for) Xxxxxxx Xxxxxxxx, Commissioner Xxxxxxx X. Xxxxxxx, Director Date: ________________________________ Date: _________________________________ APPROVED as to Form and Legality: Office of the Attorney General ___________________________________(for) Xxxxxxxx X. Xxxxxx, Attorney General Date: _________________________________ Approved by: Indiana Office of Technology By: __________________________________ (for) Xxxxx X. Xxxxxx, Chief Information Officer Date: _________________________________

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: xxxxx://xx.xxxx.xx.xxx/psp/guest/SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNTRCTS.GBL? xxxxx://xx.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST In Witness Whereof, the Contractor and the State have, through their duly authorized representatives, entered into this Contract. The parties, having read and understood the foregoing terms of this Contract, do by their respective signatures dated below agree to the terms thereof. [Contractor] [Indiana Agency] Department of Administration By: _________________________________ By: _______________________________ _____________________________________ ___________________________________ Name and Title, Printed Name and Title, Printed Date: _____________________________ Date: ___________________________ Approved by: Approved by: Indiana Office of Technology Indiana Department of Administration By: __________________________________ (for) By: ______________________________ (for) Xxxxxx Xxxxx, Chief Information Officer Xxxxxx X. Xxxxx, Commissioner Date: _________________________________ Date: ______________________________ Approved by: Approved as to Form and Legality: State Budget Agency Office of the Attorney General By: ________________________________(for) By: _______________________________ (for) Xxxxxxx Xxxxxxxx, Commissioner Xxxxxxx Xxxxx X. XxxxxxxXxxxxx, Director Xxxxxx X. Xxxx, Xx. Attorney General Date: :________________________________ Date: _________________________________ APPROVED as Exhibit A – State of Indiana Pricing This document is an exhibit to Form the Professional Services agreement, and Legality: Office of is deemed to be attached to and incorporated within the Attorney General ___________________________________(for) Xxxxxxxx X. XxxxxxProfessional Services Agreement by reference. Any inconsistency, Attorney General Date: _________________________________ Approved by: Indiana Office of Technology By: __________________________________ (for) Xxxxx X. Xxxxxxconflict, Chief Information Officer Date: _________________________________or ambiguity between this exhibit and the Professional Services agreement shall be resolved by giving precedence and effect to the Professional Services agreement. TBD

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: xxxxx://xx.xxxx.xx.xxx/psp/guest/SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNTRCTS.GBL? In Witness Whereof, the Contractor Grantee and the State have, through their duly authorized representatives, entered into this ContractAmendment. The parties, having read and understood the foregoing terms of this ContractAmendment, do by their respective signatures dated below agree to the terms thereof. [ContractorGrantee] [Indiana Agency] By: _________________________________ By: _______________________________ _____________________________________ ___________________________________ Name and Title, Printed Name and Title, Printed Date: _____________________________ Date: ___________________________ Approved by: Approved by: Indiana Department of Administration State Budget Agency By: ________________________________(for) By: _______________________________ (for) Xxxxxxx Xxxxxxxx, Commissioner Xxxxxxx X. Xxxxxxx, Director Date: ________________________________ Date: _________________________________ APPROVED as to Form and Legality: Office of the Attorney General ___________________________________(for) Xxxxxxxx X. Xxxxxx, Attorney General Date: _________________________________ Approved by: Indiana Office of Technology By: __________________________________ (for) Xxxxx X. Xxxxxx, Chief Information Officer Date: _________________________________

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: xxxxx://xx.xxxx.xx.xxx/psp/guest/SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNTRCTS.GBL? In Witness Whereof, the Contractor and the State have, through their duly authorized representatives, entered into this ContractRenewal. The parties, having read and understood the foregoing terms of this ContractRenewal, do by their respective signatures dated below agree to the terms thereof. [Contractor] [Indiana State Agency] By: _________________________________ By: _______________________________ Printed Name: Printed Name: Title: Title: Date: Date: Department of Administration State Budget Agency _____________________________________ ___________________________________ Name and Title, Printed Name and Title, Printed Date: _____________________________ Date: ___________________________ Approved by: Approved by: Indiana Department of Administration State Budget Agency By: ________________________________(for) By: _______________________________ (for) Xxxxxxx Xxxxxxxx, Commissioner Xxxxxxx X. X Xxxxxxx, Director Date: ________________________________ Date: :_________________________________ APPROVED as to Form and Legality: Office of the Attorney General ___________________________________(for) Xxxxxxxx X. Xxxxxx, Attorney General Date: _________________________________ Approved by: Indiana Office of Technology By: __________________________________ (for) Xxxxx X. Xxxxxx, Chief Information Officer Date: _________________________________

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: xxxxx://xx.xxxx.xx.xxx/psp/guest/SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNTRCTS.GBL? In Witness Whereof, the Contractor and the xxxxx://xx.xxxx.xx.xxx/psp/guest/SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNTRCTS.GBL SIGNATURE PAGE Amendment #_ to State have, through their duly authorized representatives, entered into this Contract. The parties, having read and understood the foregoing terms of this Contract, do by their respective signatures dated below agree to the terms thereof. [Contractor] [Indiana Agency] By: Office Lease EDS # or Contract # ____________________ In Witness to their agreement, the persons signing this Amendment execute it on behalf of Current Landlord, Successor Landlord and Tenant: For Current Landlord: ___________________ By: _______________________________ ____________Name: _________________________ ___________________________________ Name and Title, Printed Name and Title, Printed Date: _____________________________ Date: __________________________ The above named person(s) for the Current Landlord personally appeared before me, a Notary Public and acknowledged the execution of this Amendment this _____ Approved by: Approved by: Indiana Department day of Administration State Budget Agency By: ________, ________________________(for) By: ___. ____________________________ (for) Xxxxxxx Xxxxxxxx, Commissioner Xxxxxxx X. Xxxxxxx, Director DateNotary Public ___________________________ Printed Name My Commission Expires: _______ County of Residence:___________ SIGNATURE PAGE Amendment #_ to State of Indiana Office Lease EDS # or Contract # ____________________ For Successor Landlord: _____________________ By: _________________________ Name: _______________________ Title: ________________________ Date: ________________________ The above named person(s) for the Successor Landlord personally appeared before me, a Notary Public and acknowledged the execution of this Amendment this _____ day of _____, ______. ____________________________ APPROVED Notary Public ___________________________ Printed Name My Commission Expires: _______ County of Residence:___________ SIGNATURE PAGE Amendment #_ to State of Indiana Office Lease EDS # or Contract # ______________________ For Tenant: ____________________________ Department of Administration By: ___________________________ (for) By: ____________________________ (for) Name & Title Xxxxxx X. Xxxxx, Commissioner Date: ______________________ Date: ______________________ State Budget Agency Approved as to Form form and Legalitylegality By: Office of the ___________________________ (for) By: ____________________________ (for) Xxxxxxx X. Xxxxxxx, Director Xxxxxx X. Xxxx, Xx., Attorney General Date: ______________________ Date: ______________________ Prepared by _______________ (Agency Legal Counsel) I affirm, under penalties of perjury, that I have taken reasonable care to redact each social security number in this document, as required by law. ___________________________________(for) Xxxxxxxx X. Xxxxxx, Attorney General Date: _________________________________ Approved by: Indiana Office of Technology By: __________________________________ (for) Xxxxx X. XxxxxxIf referenced in Lease, Chief Information Officer include EXHIBIT G AMORTIZATION SCHEDULE Month # Unamortized Principal Principal to Date: _________________________________

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: xxxxx://xx.xxxx.xx.xxx/psp/guest/SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNTRCTS.GBL? In Witness Whereof, the Contractor and the State have, through their duly authorized representatives, entered into this Contract. The parties, having read and understood the foregoing terms of this Contract, do by their respective signatures dated below agree to the terms thereof. [Contractor] [Indiana Agency] By: _________________________________ By: _______________________________ _____________________________________ ___________________________________ Name and Title, Printed Name and Title, Printed Date: _____________________________ Date: ___________________________ Approved by: Approved by: Indiana Department of Administration State Budget Agency By: ________________________________(for) By: _______________________________ (for) Xxxxxxx Xxxxxxxx, Commissioner Xxxxxxx X. Xxxxxxx, Director Date: :________________________________ Date: _________________________________ APPROVED as to Form and Legality: Office of the Attorney General ___________________________________(for) Xxxxxxxx X. Xxxxxx, Attorney General Date: _________________________________ Approved by: Indiana Office of Technology By: __________________________________ (for) Xxxxx X. Xxxxxx, Chief Information Officer Date: _________________________________

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: xxxxx://xx.xxxx.xx.xxx/psp/guest/SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNTRCTS.GBL? In Witness Whereof, the Contractor Tenant and the State Landlord have, through their duly authorized representatives, entered into this ContractLease. The parties, having read and understood the foregoing terms of this ContractLease, do by their respective signatures dated below agree to the terms thereof. [Contractor] [Indiana Agency] ByFOR TENANT: _________________________________ ByDate: __________________________ Signature _________________________________ Printed Name FOR LANDLORD: _____________________________________ Date: __________________________ _____________________________________ Printed Name and Title Approved by: Approved by: Department of Administration: State Budget Agency: ________________________________ ________________________________ Xxxxxx X. Xxxxx, Commissioner Xxxxxxx X. Xxxxxxx, Director Date:___________________________ Date:___________________________ Approved for Form and Legality Office of the Indiana Attorney General By: _____________________________ (for) Date ______________________________ Xxxxxxxx X. Xxxxxx, Attorney General EXHIBIT A (LEASED PREMISES; FIELD MAP OUTLINE STRUCTURES AVAILABLE FOR TENANT’S USE SHOWN HABITAT AREAS TO BE LEFT UNDISTURBED; FALLOW FIELDS) SAMPLE EXHIBIT B CROPS TO BE PLANTED SPECIAL TERMS AND CONDITIONS Crops to be planted: ________________________________________________________ ___________________________________ Name and Title, Printed Name and Title, Printed Date: _____________________________ Date: ___________________________ Approved by: Approved by: Indiana Department of Administration State Budget Agency By: ________________________________(for) By: _______________________________ (for) Xxxxxxx Xxxxxxxx, Commissioner Xxxxxxx X. Xxxxxxx, Director Date: ________________________________ Date: _________________________________ APPROVED as to Form and Legality: Office of the Attorney General ________________________________________ Cover crops (for) Xxxxxxxx X. Xxxxxx, Attorney General Date: type; where to be planed): _________________________________ Approved by: Indiana Office of Technology By: __________________________________ (for) Xxxxx X. Xxxxxx, Chief Information Officer Date: ___________________________________________________________________________________ Specification of seeds and herbicides (if applicable): _______________________________ __________________________________________________________________________ All cover crops must be planted within the planting window for this region. Failure to plant cover crops within the identified window will result in damages being assessed against the Tenant and may result in forfeiture of this Lease. SAMPLE EXHIBIT C SPECIAL SERVICES TO BE PROVIDED BY THE TENANT FOR BENEFIT OF THE STATE List. If no Special Services, state “NOT APPLICABLE”

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract Agreement by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract Agreement to the State of Indiana. I understand that my signing and submitting this Contract Agreement in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract Agreement and this affirmation. I understand and agree that by electronically signing and submitting this Contract Agreement in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract Agreement will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: xxxxx://xx.xxxx.xx.xxx/psp/guest/SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNTRCTS.GBL? xxxxx://xx.xxxx.xx.xxx/psp/guest/SUPPLIER/ERP/c/SOI_CUS TOM_APPS.SOI_PUBLIC_CNTRCT S.GBL In Witness Whereof, the Contractor Counsel and the State have, through by their duly authorized representatives, entered into representatives have executed this ContractAgreement as of the dates set forth below. The parties, having read and understood XXXXXX & XXXX PLLC By:\s1\ Office of the foregoing terms of this Contract, do by their respective signatures dated below agree to the terms thereof. [Contractor] [Indiana Agency] By: _________________________________ By: _______________________________ _____________________________________ ___________________________________ Name and Title, Printed Name and Title, Printed Date: _____________________________ Date: ___________________________ Attorney General Title:\t1P\artner Date:\d11/\3/2022 | 09:27 PST By:\s2\ Title:\tC2\hief Deputy Attorney General Date:\d12/\3/2022 | 12:38 EST Electronically Approved by: Approved by: Indiana Department of Administration State Budget Agency By: ________________________________(for) By: _______________________________ (for) Xxxxxxx XxxxxxxxXxxx erda, Commissioner Xxxxxxx X. Xxxxxxx, Director Date: ________________________________ Date: _________________________________ APPROVED as to Form and Legality: Office of the Attorney General ___________________________________(for) Xxxxxxxx X. Xxxxxx, Attorney General Date: _________________________________ Approved by: Indiana Office of Technology By: __________________________________ (for) Xxxxx X. Xxxxxx, Chief Information Officer Date: _________________________________Commissioner

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: xxxxx://xx.xxxx.xx.xxx/psp/guest/SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNTRCTS.GBL? In Witness Whereofxxxxx://xx.xxxx.xx.xxx/psp/guest/SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNTRCTS.GBL IN WITNESS to their agreement, the Contractor persons signing this lease execute it for the Landlord and the State have, through their duly authorized representatives, entered into Tenant: For Landlord: For Tenant: (Company name) (Agency Name) ___________________________ ___________________________ (Type in Landlord name (Type in Agency Head's name and title under this Contract. The parties, having read and understood the foregoing terms signature line) under this line) Date: _______________________ Date: ______________________ Department of this Contract, do by their respective signatures dated below agree to the terms thereof. [Contractor] [Indiana Agency] Administration By: _________________________ (for) The above named person(s) for the Xxxxxx X. Xxxxx, Commissioner Landlord personally appeared before me, a Notary Public and acknowledged the execution of this lease Date: ______________________ this _____ day of _____, ______. State Budget Agency ____________________________ By: _______________________________ (for) Notary Public Xxxxxxx X. Xxxxxxx, Director ___________________________ Date:______________________ Printed Name Approved as to form and legality My Commission Expires: _______ By: ________________________ (for) County of Residence: ___________ Xxxxxx X. Xxxx, Xx., Attorney General Prepared by _____________ (Agency Legal Counsel) I affirm, under penalties of perjury, that I have taken reasonable care to redact each social security number in this document, as required by law. _________________________________________ Revised 9/2020 EXHIBIT A LEGAL DESCRIPTION INSERT LEGAL DESCRIPTION EXHIBIT B FLOOR PLAN ATTACH FLOOR PLAN EXHIBIT C LANDLORD’S WORK LETTER Landlord shall provide, at Landlord’s sole cost and expense, improvements and renovations to the Leased Premises according to Tenant’s exact standards and specifications (“turnkey”) and in accordance with this Work Letter. ADD ALL THE TENANT’S SPECIFICATIONS FOR LANDLORD’S TENANT IMPROVEMENTS AND INCLUDE FLOOR PLAN WITH NOTES, IF APPLICABLE. You may use the Tenant Interior Build-out Specifications attached at the end of the Manual. SAMPLE EXHIBIT D Letter of Confirmation EDS # or Contract # _____________________ This Letter of Confirmation is to be attached to the Lease between ______________ (Landlord) and the State of Indiana, acting by and through the Department of Administration, for and on behalf of the ____________ (Tenant). This Letter complies with Section 2 of the Lease which states that Landlord and Tenant shall confirm the commencement and expiration dates of the Lease for ______ rentable square feet located at _______________, in the City of ______________, County of ____________, State of Indiana, by signing a Letter of Confirmation, generated by the Tenant, which shall then become an attachment to the Lease. Therefore, it is agreed by the Landlord and Tenant that the Lease commenced on ______________________ and will expire on ____________________. The total agreed rent for the entire term of this Lease shall not exceed the sum of $_______, payable in equal consecutive monthly installments of $_________, which represents an annual square foot amount of $_____. The first month’s rent shall be prorated based on Tenant’s actual move-in date. If required by law, Tenant shall separately reimburse Landlord any real estate taxes due with respect to the Leased Premises based on Tenant’s proportionate share of such real estate taxes. Rent shall be paid in arrears as described in Section 5 of the Lease titled “Method of Payment”. For the Landlord: For the Tenant: ________________________ ___________________________ __________________________ ___________________________ Name: Name and & Title Title, Printed Name and Title, Printed : Date: ______:_______________________ Date: _______________________ EXHIBIT E Janitorial Exhibit Landlord agrees to furnish reasonable and customary cleaning in and about the premises in accordance with the following schedule attached (2 pages). All labor and materials for the services identified in the attached charts will be provided by Landlord with no additional cost to the Tenant, including light bulbs, filter, trash bag liners, hand towels, toilet paper, ice control materials and janitor’s cleaning supplies. ADD APPROPRIATE JANITORIAL SERVICES ATTACHMENTS (2 PAGES) BASED ON SQUARE FOOTAGE OF THE LEASED PREMISES: Under 3,000 SF 3,000 – 5,000 SF 5,000 – 10,000 SF Over 10,000 SF OR YOU MAY USE THE JANITORIAL EXHIBIT ATTACHED AT THE END OF THE MANUAL. EXHIBIT F SAMPLE _____ Approved by: Approved by: Amendment to Recognize Substitution of Party To State of Indiana Department of Administration State Budget Agency By: ________________________________(for) By: ___________Office Lease EDS # or Contract # ____________________ (for) Xxxxxxx Xxxxxxxx, Commissioner Xxxxxxx X. Xxxxxxx, Director Date: This Amendment #_ to that certain State of Indiana Office Lease dated as of __________, 20__, and effective __________, 20__, per the commencement date stated in the Confirmation Letter (the “Lease”) is entered into by and between __________ Date: _________________________________ APPROVED (hereinafter referred to as to Form “Current Landlord”) and Legality: Office the State of Indiana, acting by and through its Department of Administration for and on behalf of the Attorney General ___________________________________(for) Xxxxxxxx X. Xxxxxx, Attorney General Date: _________________________________ Approved by: Indiana Office of Technology By: __________________________________ (for) Xxxxx X. Xxxxxxhereinafter referred to as “Tenant”). Hereinafter, Chief Information Officer Date: _________________________________the Current Landlord, Successor Landlord and Tenant may collectively be referred to as the “Parties” or individually as a “Party”.

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: xxxxx://xx.xxxx.xx.xxx/psp/guest/SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNTRCTS.GBL? In Witness Whereof, the Contractor and the State have, through their duly authorized representatives, entered into this Contract. The parties, having read and understood the foregoing terms of this Contract, do by their respective signatures dated below agree to the terms thereof. [Contractor] [Indiana Agency] By: _________________________________ By: _______________________________ _____________________________________ ___________________________________ Name and Title, Printed Name and Title, Printed Date: _____________________________ Date: ___________________________ Approved by: Approved by: Indiana Department of Administration State Budget Agency By: ________________________________(for) By: _______________________________ (for) Xxxxxxx XxxxxxxxXxxxxx X. Xxxxx, Commissioner Xxxxxxx X. Xxxxxxx, Director Date: :________________________________ Date: _________________________________ APPROVED as to Form and Legality: Office of the Attorney General ___________________________________(for) Xxxxxxxx X. Xxxxxx, Attorney General Date: _________________________________ Approved by: Indiana Office of Technology By: __________________________________ (for) Xxxxx X. Xxxxxx, Chief Information Officer Date: _________________________________

Agreement to Use Electronic Signatures. Process I agree, and it is my intent, to sign this Contract Grant Agreement by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract Grant Agreement to the State of Indiana. I understand that my signing and submitting this Contract Grant Agreement in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract Grant Agreement and this affirmation. I understand and agree that by electronically signing and submitting this Contract Grant Agreement in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract Grant Agreement will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: xxxxx://xx.xxxx.xx.xxx/psp/guest/SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNTRCTS.GBL? xxxxx://xx.xxxx.xx.xxx/psp/guest/SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNTRCTS.GBL In Witness Whereof, the Contractor Grantee and the State have, through their duly authorized representatives, entered into this ContractGrant Agreement. The partiesPARTIES, having read and understood the foregoing terms of this ContractGrant Agreement, do by their respective signatures dated below agree to the terms thereof. [Contractor] [XXXXX COUNTY Indiana Agency] Department of Transportation By: _________________________________ By: _______________________________ _____________________________________ ___________________________________ Name and Title: Pr_e_s_i_d_e_n_t_,__B_o_a_r_d__o_f___C_o_m_m_i_s_s_i_o_n_ers (for) Xxxxxx XxXxxxxxxx, Printed Name and Title, Printed Commissioner Date: _____________________________ Date: ___________________________ Electronically Approved by: Electronically Approved by: Indiana Department of Administration State Budget Agency By: ________________________________(for) By: _______________________________ (for) Xxxxxxx Xxxxxxxx, Commissioner By: (for) Xxxxxxx X. Xxxxxxx, Director Date: ________________________________ Date: _________________________________ APPROVED as to Form and Legality: approval has been granted by the Office of the Attorney General ___________________________________(forpursuant to IC 4-13-2-14.3(e) Xxxxxxxx X. Xxxxxxon October 26, Attorney General Date2021. FA 21-56 ATTACHMENT A PROJECT DESCRIPTION Des. No.: _________________________________ Approved by2101326 Program: Indiana Office Local Roads and Bridges Matching Grants Type of Technology ByProject: __________________________________ (for) Xxxxx X. XxxxxxHMA Overlay Minor Structural In Process Location: Application ID: 11047 A general scope/description of the Project is as follows: Mill existing roadway pavement and resurface with 1.5 inches of HMA overlay, Chief Information Officer Date: _________________________________including, as needed, wedge and level, stone shoulder improvements, and striping where applicable. Milling will be done on butt/transition joints at all start and end locations, public and private road approaches where needed, and at all bridge approaches, all in accordance with INDOT specifications. Minimal work is anticipated on drainage structures and ditch improvements within the project limits. PAVING EXCEPTIONS AT BRIDGES ARE NOTED IN THE COMMENT SECTION OF INDIVIDUAL ROAD SEGMENTS WHERE APPLICABLE. The maximum amount of state funds allocated to the Project is $ 624,411.36. In Process

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: xxxxx://xx.xxxx.xx.xxx/psp/guest/SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNTRCTS.GBL? In Witness Whereof, the Contractor Grantee and the State have, through their duly authorized representatives, entered into this ContractGrant Agreement. The parties, having read and understood the foregoing terms of this ContractGrant Agreement, do by their respective signatures dated below agree to the terms thereof. [ContractorGrantee] [Indiana Agency] By: _________________________________ By: _______________________________ _____________________________________ ___________________________________ Name and Title, Printed Name and Title, Printed Date: _____________________________ Date: ___________________________ Approved by: Approved by: Indiana Department of Administration State Budget Agency By: ________________________________(for) By: _______________________________ (for) Xxxxxxx Xxxxxxxx, Commissioner Xxxxxxx X. Xxxxxxx, Director Date: ________________________________ Date: _________________________________ APPROVED as to Form and Legality: Office of the Attorney General ___________________________________(for) Xxxxxxxx X. Xxxxxx, Attorney General Date: _________________________________ Approved by: Indiana Office of Technology By: __________________________________ (for) Xxxxx X. Xxxxxx, Chief Information Officer Date: __________________________________ EXHIBIT C – Annual Financial Report for Non-governmental Entities Guidelines for filing the annual financial report: Filing an annual financial report called an Entity Annual Report (E-1) is required by IC 5-11-1-4. This is done through Gateway which is an on-line electronic submission process. There is no filing fee to do this. This is in addition to the similarly titled Business Entity Report required by the Indiana Secretary of State. The E-1 electronical submission site is found at xxxxx://xxxxxxx.xxxxxxxxx.xxx/login.aspx The Gateway User Guide is found at xxxxx://xxxxxxx.xxxxxxxxx.xxx/userguides/E1guide The State Board of Accounts may request documentation to support the information presented on the E-1.

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract Grant Agreement by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract Grant Agreement to the State of Indiana. I understand that my signing and submitting this Contract Grant Agreement in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract Grant Agreement and this affirmation. I understand and agree that by electronically signing and submitting this Contract Grant Agreement in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract Grant Agreement will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: xxxxx://xx.xxxx.xx.xxx/psp/guest/SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNTRCTS.GBL? xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST In Witness Whereof, the Contractor Grantee and the State have, through their duly authorized representatives, entered into this ContractGrant Agreement. The parties, having read and understood the foregoing terms of this ContractGrant Agreement, do by their respective signatures dated below agree to the terms thereof. [ContractorGrantee] [Indiana Agency] Department of Child Services By: _________________________________ By: _______________________________ Xxxxx X. Xxxxxxx, RN, MSN, Director _____________________________________ ___________________________________ Name and Title, Printed Name and Title, Printed Date: _____________________________ Date: ___________________________ Approved by: Approved by: Indiana Department of Administration State Budget Agency By: ________________________________(for) By: _______________________________ (for) Xxxxxxx XxxxxxxxXxxxxx X. Xxxxx, Commissioner Xxxxxxx X. Xxxxxxx, Director Date: :________________________________ Date: _________________________________ APPROVED as to Form and Legality: Office of the Attorney General ___________________________________(for) Xxxxxxxx Xxxxxx X. XxxxxxXxxx, Xx., Attorney General Date: _________________________________ Approved by: Indiana Office of Technology By: __________________________________ (for) Xxxxx X. Xxxxxx, Chief Information Officer Date: __________________________________ This form was prepared by agency legal counsel Xxxx Xxxxxxx on November 19, 2020.

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract Agreement by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract Agreement to the State of Indiana. I understand that my signing and submitting this Contract Agreement in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract Agreement and this affirmation. I understand and agree that by electronically signing and submitting this Contract Agreement in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract Agreement will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: xxxxx://xx.xxxx.xx.xxx/psp/guest/SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNTRCTS.GBL? xxxxx://xx.xxxx.xx.xxx/psp/guest/SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNTR CTS.GBL In Witness Whereof, the Contractor and the State Parties have, through their duly authorized representatives, entered into this ContractAgreement. The partiesParties, having read and understood the foregoing terms of this ContractAgreement, do by their respective signatures dated below agree to the terms thereof. [Contractor] [Indiana Agency] By: _________________________________ By: _______________________________ _THE REMAINDER OF THE PAGE IS INTENTIONALLY LEFT BLANK CITY OF WESTFIELD, INDIANA COMMON COUNCIL ____________________________________ By: Xxxx Xxxxx, President ____________________________________ Name and Title, Printed Name and Title, Printed Date: _____________________________ Date: ___________________________ Approved by: Approved by: Indiana Department of Administration State Budget Agency By: ________________________________(for) By: _______________________________ (for) Xxxxxxx Xxxxxxxx, Commissioner Xxxxxxx X. Xxx Xxxxxxx, Director Date: ________________________________ Date: _________________________________ APPROVED as to Form and Legality: Office of the Attorney General Vice President ___________________________________(for) Xxxxxxxx X. _ By: Xxxxx Xxxxxx, Attorney General Date: Member _________________________________ Approved by: Indiana Office of Technology By: __________________________________ (for) Xxxxx X. XxxxxxBy: Xxxx Xxxxxxx, Chief Information Officer Date: Member ____________________________________ By: Xxxx Xxxxxx, Member ____________________________________ By: Xxxxx Xxxxxxxxx, Member ____________________________________ By: Xxxxx Xxxx, Member Members of the Common Council City of Westfield, Indiana Date:_ ATTEST: ________________________________ By: Xxxxx X. Xxxxxxx, Clerk-Treasurer Date: _____________________________ STATE OF INDIANA

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: xxxxx://xx.xxxx.xx.xxx/psp/guest/SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNTRCTS.GBL? In Witness Whereof, the Contractor Grantee and the State have, through their duly authorized representatives, entered into this ContractAmendment. The parties, having read and understood the foregoing terms of this ContractAmendment, do by their respective signatures dated below agree to the terms thereof. [ContractorGrantee] [Indiana Agency] By: _________________________________ By: _______________________________ _____________________________________ ___________________________________ Name and Title, Printed Name and Title, Printed Date: _____________________________ Date: ___________________________ Approved by: Approved by: Indiana Department of Administration State Budget Agency By: ________________________________(for) By: _______________________________ (for) Xxxxxxx XxxxxxxxXxxxxx X. Xxxxx, Commissioner Xxxxxxx X. Xxxxxxx, Director Date: _:_______________________________ Date: _________________________________ APPROVED as to Form and Legality: Office of the Attorney General ___________________________________(for) Xxxxxxxx X. Xxxxxx, Attorney General Date: _________________________________ Approved by: Indiana Office of Technology By: __________________________________ (for) Xxxxx X. Xxxxxx, Chief Information Officer Date: _________________________________

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: xxxxx://xx.xxxx.xx.xxx/psp/guest/SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNTRCTS.GBL? In Witness Whereof, the Contractor and the State have, through their duly authorized representatives, entered into this Contract. The parties, having read and understood the foregoing terms of this Contract, do by their respective signatures dated below agree to the terms thereof. [Contractor] [Indiana Agency] By: _________________________________ By: _______________________________ _____________________________________ ___________________________________ Name and Title, Printed Name and Title, Printed Date: _____________________________ Date: ___________________________ Approved by: Approved by: Indiana Department of Administration State Budget Agency By: ________________________________(for) By: _______________________________ (for) Xxxxxxx Xxxxxxxx, Commissioner Xxxxxxx X. Xxxxxxx, Director Date: :________________________________ Date: _________________________________ APPROVED as to Form and Legality: Office of the Attorney General ___________________________________(for) Xxxxxxxx X. Xxxxxx, Attorney General Date: _________________________________ Approved by: Indiana Office of Technology By: __________________________________ (for) Xxxxx X. Xxxxxx, Chief Information Officer Date: _________________________________Officer

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: xxxxx://xx.xxxx.xx.xxx/psp/guest/SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNTRCTS.GBL? xxxxx://xx.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST In Witness Whereof, the Contractor Grantee and the State have, through their duly authorized representatives, entered into this ContractGrant. The parties, having read and understood the foregoing terms of this ContractGrant, do by their respective signatures dated below agree to the terms thereof. [Contractor] [%%VENDOR_NAME%% Indiana Agency] Utility Regulatory Commission By: _________________________________ By: ____:___________________________ _____________________________________ ______Xxxxx X. Xxxxxx _____________________________ Name and Title, Printed Name and Title, Printed Date: :_________________________ Date:_____________________________ Date: ___________________________ Electronically Approved by: Department of Administration By: (for) Xxxxxx X. Xxxxx, Commissioner Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: Indiana Department of Administration State Budget Agency By: ________________________________(for) By: _______________________________ (for) Xxxxxxx Xxxxxxxx, Commissioner Xxxxxxx Xxxxx X. XxxxxxxXxxxxx, Director Date: ________________________________ Date: _________________________________ APPROVED Refer to Electronic Approval History found after the final page of the Executed Contract for details. Approved as to Form and Legality: Office of Attorney General Form approval has been granted by the Office of the Attorney General ___________________________________pursuant to IC 4-13-2-14.3(e) on July 2, 2020. FA 20-35 Attach text of Exhibits A and B, Grant Application, here. Update PDF footer to include page numbers, centered and formatted as: Page X of Y. Remove these instruction from final draft. EXHIBIT C -- Annual Financial Report for Non-governmental Entities Guidelines for filing the annual financial report: Filing an annual financial report called an Entity Annual Report (forE-1) Xxxxxxxx X. Xxxxxxis required by IC 5-11-1-4. This is done through Gateway which is an on-line electronic submission process. There is no filing fee to do this. This is in addition to the similarly titled Business Entity Report required by the Indiana Secretary of State. The E-1 electronical submission site is found at xxxxx://xxxxxxx.xxxxxxxxx.xxx/login.aspx The Gateway User Guide is found at xxxxx://xxxxxxx.xxxxxxxxx.xxx/userguides/E1guide The State Board of Accounts may request documentation to support the information presented on the E-1. Login credentials for filing the E-1 and additional information can be obtained using the xxxxxxxxxxxx@xxxx.xx.xxx email address. A tutorial on completing Form E-1 online is available at xxxxx://xxx.xxxxxxx.xxx/watch?time_continue=87&v=nPpgtPcdUcs Based on the level of government financial assistance received, Attorney General Date: _________________________________ Approved by: Indiana Office of Technology By: __________________________________ (for) Xxxxx X. Xxxxxx, Chief Information Officer Date: _________________________________an audit may be required by IC 5-11-1-9.

Agreement to Use Electronic Signatures. Process I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: xxxxx://xx.xxxx.xx.xxx/psp/guest/SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNTRCTS.GBL? xxxxx://xx.xxxx.xx.xxx/psp/guest/SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNTRCTS.GBL In Witness Whereof, the Contractor LPA and the State have, through their duly authorized representatives, entered into this Contract. The partiesPARTIES, having read and understood the foregoing terms of this Contract, do by their respective signatures dated below agree to the terms thereof. [Contractor] [MUNSTER, TOWN OF Indiana Agency] Department of Transportation By: _________________________________ By: _______________________________ Title: To_w_n__M_a_n_a_g_e_r____________________ Title: _______________________ ___________________________________ Name and Title, Printed Name and Title, Printed Date: _______________________2/1_4_/_2_0_2_2__|__1_1_:1_0__E_S_T______ Date: ___________________________ Electronically Approved by: Electronically Approved by: Indiana Department of Administration State Budget Agency By: ________________________________(for) By: _______________________________ (for) Xxxxxxx Xxxxxxxx, Commissioner By: (for) Xxxxxxx X. Xxxxxxx, Director Date: ________________________________ Date: _________________________________ APPROVED as to Form and Legality: approval has been granted by the Office of the Attorney General ___________________________________(forpursuant to IC 4-13-2-14.3(e) Xxxxxxxx X. Xxxxxxon November 24, Attorney General Date: _________________________________ Approved by: Indiana Office of Technology By: __________________________________ (for) Xxxxx X. Xxxxxx, Chief Information Officer Date: _________________________________2021. FA 21-76

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: xxxxx://xx.xxxx.xx.xxx/psp/guest/SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNTRCTS.GBL? In Witness Whereof, the Contractor and the State have, through their duly authorized representatives, entered into this ContractRenewal. The parties, having read and understood the foregoing terms of this ContractRenewal, do by their respective signatures dated below agree to the terms thereof. [Contractor] [Indiana State Agency] By: _________________________________ By: _______________________________ Printed Name: Printed Name: Title: Title: Date: Date: Department of Administration State Budget Agency _____________________________________ ___________________________________ Name and Title, Printed Name and Title, Printed Date: _____________________________ Date: ___________________________ Approved by: Approved by: Indiana Department of Administration State Budget Agency By: ________________________________(for) By: _______________________________ (for) Xxxxxxx XxxxxxxxXxxxxx X. Xxxxx, Commissioner Xxxxxxx X. X Xxxxxxx, Director Date: ________________________________ Date: :_________________________________ APPROVED as to Form and Legality: Office of the Attorney General ___________________________________(for) Xxxxxxxx X. Xxxxxx, Attorney General Date: _________________________________ Approved by: Indiana Office of Technology By: __________________________________ (for) Xxxxx X. Xxxxxx, Chief Information Officer Date: _________________________________