Award and Grantee Specific Information and Certification Sample Clauses

Award and Grantee Specific Information and Certification. 1.1. DUNS Number; XXX Registration; Nature of Entity. Under penalties of perjury, Grantee certifies that 790817944 is Grantee’s correct DUNS number, that N/A is Grantee’s correct UEI, if applicable, that 00-0000000 is Grantee’s correct FEIN or Social Security Number, and that Grantee has an active State registration and XXX registration. Grantee is doing business as a Governmental. If Grantee has not received a payment from the state of Illinois in the last two years, Grantee must submit a W-9 tax form with this Agreement.
Sample 1
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Award and Grantee Specific Information and Certification. 1.1. DUNS Number; XXX Registration; Nature of Entity. Under penalties of perjury, Grantee certifies that 031611213 is Grantee’s correct DUNS Number, that N/A is Grantee’s correct UEI, if applicable, that 366005843 is Grantee’s correct FEIN or Social Security Number, and that Grantee has an active State registration and XXX registration. Grantee is doing business as a (check one): ☐ Individual ☐ ☐ Sole Proprietorship ☐ ☐ Partnership ☐ ☐ Corporation (includes Not for Profit) ☐ ☐ ☐X Medical Corporation Governmental Unit ☐ ☐ Estate or Trust ☐ Pharmacy-Non-Corporate Pharmacy/Funeral Home/Cemetery Corp. Tax Exempt Limited Liability Company (select applicable tax classification) P = partnership C = corporation If Grantee has not received a payment from the state of Illinois in the last two years, Grantee must submit a W-9 tax form with this Agreement.
Sample 1
Award and Grantee Specific Information and Certification. 1.1. DUNS Number; XXX Registration; Nature of Entity. Under penalties of perjury, Grantee certifies that 790817944 is Grantee’s correct DUNS number, that 00-0000000 is Grantee’s correct FEIN or Social Security Number, and that Grantee has an active State registration and XXX registration. Grantee is doing business as a (check one): Individual Pharmacy-Non Corporate Sole Proprietorship Pharmacy/Funeral Home/Cemetery Corp. Partnership Tax Exempt Corporation (includes Not For Profit) Limited Liability Company (select Medical Corporation applicable tax classification) Governmental Unit C = corporation Estate or Trust P = partnership If Grantee has not received a payment from the state of Illinois in the last two years, Grantee must submit a W-9 tax form with this Agreement.
Sample 1
Award and Grantee Specific Information and Certification 
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Related to Award and Grantee Specific Information and Certification

  • Disclosure to numbering service providers (a) Any Finance Party may disclose to any national or international numbering service provider appointed by that Finance Party to provide identification numbering services in respect of this Agreement, the Facility and/or one or more Obligors the following information:

  • Electronic and Information Resources Accessibility and Security Standards a. Applicability: The following Electronic and Information Resources (“EIR”) requirements apply to the Contract because the Grantee performs services that include EIR that the System Agency's employees are required or permitted to access or members of the public are required or permitted to access. This Section does not apply to incidental uses of EIR in the performance of the Agreement, unless the Parties agree that the EIR will become property of the State of Texas or will be used by HHSC’s clients or recipients after completion of the Agreement. Nothing in this section is intended to prescribe the use of particular designs or technologies or to prevent the use of alternative technologies, provided they result in substantially equivalent or greater access to and use of a Product.

  • Confidentiality Statement All persons that will be working with PHI COUNTY 21 discloses to CONTRACTOR or CONTRACTOR creates, receives, maintains, or transmits on behalf of 22 COUNTY must sign a confidentiality statement that includes, at a minimum, General Use, Security and 23 Privacy Safeguards, Unacceptable Use, and Enforcement Policies. The statement must be signed by the 24 workforce member prior to access to such PHI. The statement must be renewed annually. The 25 CONTRACTOR shall retain each person’s written confidentiality statement for COUNTY inspection 26 for a period of six (6) years following the termination of the Agreement.

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