{"component": "clause", "props": {"groups": [{"snippet": "By signing this report, I certify to the best of my knowledge and belief that the foregoing is true, complete, and accurate. I am aware that any false, fictitious, or fraudulent information, or the omission of any material fact, may subject me to criminal, civil or administrative penalties for fraud, false statements, false claims or otherwise. (U.S. Code Title 18, Sections 3729-3730 and 3801-3812). 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The undersigned Purchaser acknowledges that the Company will be relying upon the information provided by the Purchaser in this Questionnaire. If such representations shall cease to be true and accurate in any respect, the undersigned shall give immediate notice of such fact to the Company. Print Name of Purchaser By: Signature of Authorized Signatory Name of Authorized Signatory (if an entity) Title of Authorized Signatory (if an entity) The signatory hereto is an \u201caccredited investor\u201d, as that term is defined in Regulation D under the Securities Act of 1933, as amended (the \u201cAct\u201d). I have checked the box below indicating the basis on which I am representing my status as an \u201caccredited investor\u201d (CHECK ALL THAT ARE APPLICABLE): \u2610 (a) an individual with a net worth, or a joint net worth together with his or her spouse, in excess of $1,000,000. 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Furthermore, I am a duly authorized representative to sign such agreement for the party that I represent. Name: Name: Title: Title: Date: Date: This Addendum sets forth the applicable requirements that are required by the contract between the California Department of Health Care Services (\u201cDHCS\u201d) and \u2587\u2587\u2587\u2587 Health System (\u201cKHS\u201d) (the \u201cMedi-Cal Contract\u201d) to be included in this Agreement and any other provisions necessary to reflect compliance with law. Any citations in this Addendum are to the applicable sections of the Medi-Cal Contract, or applicable law. This Addendum will automatically be modified to conform to subsequent changes in law or government program requirements. In the event of a conflict between this Addendum and any other provision of the Agreement, this Addendum will control with respect to Medi-Cal. Any capitalized term utilized in this Addendum will have the same meaning ascribed to it in the Agreement unless otherwise set forth in this Addendum. If a capitalized term used in this Addendum is not defined in the Agreement or this Addendum, it will have the same meaning ascribed to it in the Medi-Cal Contract. 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The undersigned Purchaser acknowledges that the Company will be relying upon the information provided by the Purchaser in this Questionnaire. If such representations shall cease to be true and accurate in any respect, the undersigned shall give immediate notice of such fact to the Company. Print Name of Purchaser By: Signature of Authorized Signatory Name of Authorized Signatory (if an entity) Title of Authorized Signatory (if an entity) The signatory hereto is an \u201caccredited investor\u201d, as that term is defined in Regulation D under the Securities Act of 1933, as amended (the \u201cAct\u201d). I have checked the box below indicating the basis on which I am representing my status as an \u201caccredited investor\u201d (CHECK ALL THAT ARE APPLICABLE):", "size": 54, "snippet_links": [{"key": "i-understand", "type": "definition", "offset": [0, 12]}, {"key": "private-securities", "type": "clause", "offset": [35, 53]}, {"key": "invested-capital", "type": "definition", "offset": [95, 111]}, {"key": "illiquid-investment", "type": "definition", "offset": [130, 149]}, {"key": "short-term", "type": "clause", "offset": [158, 168]}, {"key": "ownership-transfer", "type": "definition", "offset": [192, 210]}, {"key": "the-undersigned", "type": "definition", "offset": [226, 241]}, {"key": "the-company-will", "type": "clause", "offset": [270, 286]}, {"key": "information-provided-by-the-purchaser", "type": "clause", "offset": [307, 344]}, {"key": "true-and-accurate", "type": "clause", "offset": [410, 427]}, {"key": "notice-of", "type": "clause", "offset": [481, 490]}, {"key": "to-the-company", 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"Viability Statement"], ["secrecy", "Secrecy"]], "parents": [["counterparts", "Counterparts"], ["terms-and-conditions-of-options", "Terms and Conditions of Options"], ["miscellaneous-provisions", "Miscellaneous Provisions"], ["miscellaneous", "Miscellaneous"], ["interpretation", "Interpretation"]], "title": "ATTESTATION", "size": 754, "id": "attestation", "related": [["accountants-attestation", "Accountant\u2019s Attestation", "Accountant\u2019s <strong>Attestation</strong>"], ["foreign-country-of-concern-attestation", "Foreign Country of Concern Attestation", "Foreign Country of Concern <strong>Attestation</strong>"], ["report-on-assessment-of-compliance-and-attestation", "Report on Assessment of Compliance and Attestation", "Report on Assessment of Compliance and <strong>Attestation</strong>"], ["assessments-of-compliance-and-attestation-reports", "Assessments of Compliance and Attestation Reports", "Assessments of Compliance and <strong>Attestation</strong> Reports"], ["accountants-certification", "Accountants' Certification", "Accountants&#x27; Certification"]], "related_snippets": [], "updated": "2026-01-31T05:57:29+00:00", "also_ask": ["What are the essential elements that must be included in an attestation clause for it to be legally effective?", "How can the attestation clause be strategically drafted to strengthen evidentiary value in court?", "What are the most common pitfalls or fatal flaws that render attestation clauses unenforceable?", "How do attestation requirements differ across key jurisdictions or under different governing laws?", "What negotiation leverage can be gained or lost by modifying the attestation language?"], "drafting_tip": "Specify the parties making the attestation to clarify responsibility, require clear language to avoid ambiguity, and reference supporting documents to ensure verifiability.", "explanation": "The Attestation clause serves to formally confirm the authenticity and validity of a document by having parties or witnesses sign it. In practice, this clause typically appears at the end of contracts or legal documents, where the involved parties, and sometimes witnesses or notaries, provide their signatures to indicate agreement and acknowledgment. Its core function is to provide legal evidence that the document was properly executed and agreed upon, thereby reducing the risk of disputes over its legitimacy."}, "json": true, "cursor": ""}}