Certification Form Sample Clauses

Certification Form. ATTACHMENT H HHS Data Use Agreement (Community Center (LMHA, LA, ATTACHMENT H1 ............Texas HHS System Data Use Agreement: Attachment 2, Security and Privacy Inquiry (SPI) ATTACHMENT I Indirect Cost Rate Letter

Certification Form. (a) Except as otherwise specified as contemplated by Section 301 for Securities of any series, whenever any certification is required to be given pursuant to Section 305(d)(i) of this Indenture in connection with the transfer of a beneficial interest in a Restricted Global Security to a person who wishes to take delivery thereof in the form of a beneficial interest in a Regulation S Global Security, such certification shall be provided substantially in the form of Annex A to this Indenture, with only such changes as shall be approved in writing by the Issuer. (b) Except as otherwise specified as contemplated by Section 301 for Securities of any series, whenever any certification is required to be given pursuant to Section 305(d)(ii) of this Indenture in connection with the transfer of a beneficial interest in a Restricted Global Security to a person who wishes to take delivery thereof in the form of a beneficial interest in an Unrestricted Global Security, such certification shall be provided substantially in the form of Annex B to this Indenture, with only such changes as shall be approved in writing by the Issuer. (c) Except as otherwise specified as contemplated by Section 301 for Securities of any series, whenever any certifications are required to be given pursuant to Section 305(d)(iii) of this Indenture in connection with the transfer of a beneficial interest in the Regulation S Global Security to a person who wishes to take delivery thereof in the form of a beneficial interest in the Restricted Global Security, such certifications shall be provided substantially in the form of Annex C to this Indenture, with only such changes as shall be approved in writing by the Issuer. (d) Except as otherwise specified as contemplated by Section 301 for Securities of any series, whenever any certification is required to be given pursuant to Section 305(d)(iv) of this Indenture in connection with the transfer of a beneficial interest in an Unrestricted Global Security to a person who wishes to take delivery thereof in the form of a beneficial interest in the Restricted Global Security, such certification shall be provided substantially in the form of Annex D to this Indenture, with only such changes as shall be approved in writing by the Issuer.

Certification Form. Except as otherwise specified as contemplated by Section 301 for Securities of any series, whenever any certification is to be given by a beneficial owner of a portion of a Restricted Global Security pursuant to Section 305(c)(5)(ii) of this Indenture in connection with the transfer of a beneficial interest in a Restricted Global Security to a person who wishes to take delivery thereof in the form of a beneficial interest in a Regulation S Global Security, such certification shall be provided substantially in the form of the following certificate, with only such changes as shall be approved in writing by the Company and the lead underwriters or purchasers, if any, of the initial offering of such Securities being transferred. The First National Bank of Chicago, as Trustee Corporate Trust Services Division One First Xxxxxxxx Xxxxx—Xxxxx 0000 Xxxxxxx, Xxxxxxxx 00000-0000 Re: CSR America, Inc Reference is hereby made to the Indenture, dated as of March 1, 1994 (the “Indenture”), between CSR America, Inc., CSR Limited and The First National Bank of Chicago, as Trustee. Capitalized terms used but not defined herein shall have the meanings given to them in the Indenture. This letter relates to US$ principal amount of Securities which are evidenced by one or more Restricted Global Securities (CUSIP No. ) and held with the Depositary in the name of [insert name of transferor] (the “Transferor”). The Transferor has requested a transfer of such beneficial interest in the Securities to a person who will take delivery thereof in the form of an equal principal amount of Securities evidenced by one or more Regulation S Global Securities (CUSIP No ), which amount, immediately after such transfer, is to be held with the Depositary through Euroclear or Cedel or both (Common Code ). In connection with such request and in respect of such Securities, the Transferor does hereby certify that such transfer has been effected pursuant to and in accordance with Rule 903 or Rule 904 under the United States Securities Act of 1933, as amended (the “Securities Act”), and accordingly the Transferor does hereby further certify that:

Certification Form. The field representative shall execute a certificate in the format shown in GSFIC Forms Packet, on the letterhead of the manufacturer, certifying that "the equipment has been installed in strict compliance with the recommendations of the manufacturer and is operating properly.” All certification forms shall be provided to Design Professional at least seven (7) days prior to the inspection for Material Completion. Initial Test and Balance. Prior to Material Completion, CM/GC shall perform an initial test and balance on the heating, ventilating and air conditioning system. CM/GC shall submit the initial test and balance report to Design Professional at least seven (7) days prior to the proposed date of Inspection for Material Completion. Two (2) additional Test and Balance Reports are required after Material Completion and occupancy.

Certification Form. Unit members shall be required to sign the MiraCosta Online Class Requirements Self- Checklist, which is attached as Exhibit G. By signing the certification form, unit members agree to abide by all recommendations on the checklist. Those who do so are agreeing to meet these recommendations in each class taught in an online or hybrid format on an ongoing basis. Unit members shall be required to recertify once every four (4) years to maintain currency to teach online. The appropriate xxxx or designee shall document that all unit members who are assigned to teach distance education courses have satisfied the certification requirements above. The xxxx or designee shall maintain a comprehensive list of certified online instructors, and shall consult this list prior to assigning a unit member to teach a distance education course in accordance with department and district procedures. The district must inform unit members when recertification is required at the beginning of the academic year that the certification will expire. If a recertification notice is not provided on time, the unit member will maintain certification until notice is given and the unit member is afforded three (3) months to complete the process. Exceptions to this requirement may be granted by the appropriate vice president, such as in emergency situations that require late instructor assignments. Efforts will be made to provide appropriate distance education training to the unit member during the semester of the assignment.

Certification Form. Contractor shall annually submit to the Village Contractor’s certifications as required in Attachment C to this Agreement, in the attached in Attachment D I hereby certify that I am the of 1. Not delinquent in the payment of taxes to the Illinois Department of Employment security or the Illinois Department of revenue in accordance with 65 ILCS 5/11-42.1-1; 2. Not barred from contracting as a result of a violation of either Section 33E-3 (bid-rigging) or 33E-4 (bid-totaling) of the Criminal Code of 1961, and as amended from time to time (720 ILCS 5/33E-3 and 5/33E-4); and 3. Not in default, as defined in 5 ILCS 385/2, on an educational loan, as defined in 5 ILCS 385/1. In addition, Contractor hereby represents and warrants to the Village of Frankfort, Illinois, as a condition of any agreement with the Village of Frankfort, Illinois, that Contractor is under no legal prohibition on contracting with the Village, has no known conflicts of interest, and further certifies that: 1. Contractor maintains and will maintain a drug-free workplace in accordance with the Drug Free Workplace Act (30 ILCS 580/1 et seq.) by: A. Publishing a statement: (1) Notifying employees that the unlawful manufacture, distribution, dispensation, possession, or use of a controlled substance including cannabis, is prohibited in Contractor’s workplace; (2) Specifying the actions that will be taken against employee for violations of such prohibition; (3) Notifying the employee that, as a condition of employment on this Agreement, the employee will: a. Abide by the terms of the statement; and b. Notify the employer of any criminal drug statute conviction for a violation occurring in the workplace no later than five (5) days after such conviction. B. Establishing a drug-free awareness program to inform employees about: (1) The dangers of drug abuse in the workplace; (2) Contractor’s policy of maintaining a drug-free workplace; (3) Any available drug counseling, rehabilitation, and employee assistance program; and (4) The penalties that may be imposed upon employees for drug violations. C. Making it a requirement to give a copy of the statement required by subsection A to each employee engaged in the performance of the Agreement, and to post the statement in a prominent place in the workplace. D. Notifying the Village within ten (10) days after receiving notice under Paragraph A.3(b) from an employee or otherwise receiving actual notice of such conviction. E. Imposing a sanction on, or requir...

Certification Form. Within the requirements of the new state term contract, ICS’s candidates will be required to complete the Resume Self-Certification Form (Exhibit G of the draft contract). Completed Resume Self-Certification Forms will be submitted in conjunction with ICS’s responses to Customer’s RFQ’s, under Section 14 of the Contract. Team leaders and technical subject matter experts collaborate with our recruiting team to create a team of interviewers and questions that are based upon the job description and the SM. ICS recruits team members with deep technical skills as well as a proven track record of integrity, solid ethics, and impeccable references. ICS utilizes reference checking to verify factual information such as dates and places of employment, and to provide useful information on the applicant’s work history, a valuable indicator of future performance. Reference calls are not limited to the references provided by the candidate. While checking references. ICS reviews work history for other reference sources and asks references for contact information for others who might have information about the candidate’s performance. ICS performs background screening on all positions, regardless if the job description initially requires special trust. ICS ensures that all employees and subcontractors meet the requirements of special trust in the event a customer has an unexpected need or the position requirements change during the project. To objectively assess a candidate’s skills, ICS subscribes and uses the services of several skills testing vendors such as eSkills and Codility prior to conducting more in-depth technical interviews with our subject matter experts. ICS’s assessment tools benchmark actual versus reported knowledge, requires that specific skills be demonstrated (e.g., code development skills), identifies skill gaps, and offers qualified training recommendations. ICS recognizes the importance of ongoing workforce development and has adopted an Intentional Workforce Development philosophy where we continually assess the knowledge and skills required to maintain performance excellence and make intentional, proactive investments in specific training to achieve that goal. ICS proactively trains personnel on new technologies. Our approach to training is built upon: • Professional job analysis, skills assessment and development of learning paths by a team of professionals at Auburn University Montgomery (ICS Partner). • Proactive intentional investment in workf...

Certification Form. For Employees, Agents and Contractors

Certification Form. 43 SECTION 3.13. CUSIP and ISIN Numbers.........................................................................50

Certification Form. Whenever any certification is required to be given pursuant to Section 305(c)(i) of this Indenture in connection with the transfer prior to the Unrestricted Date of a beneficial interest in the Global Note to a person who wishes to take delivery thereof in the from of a beneficial interest in the same Global Note, such certification shall be provided substantially in the form of Annex A to this Indenture, with only such changes as shall be approved in writing by the Company.