Certification Forms Clause Samples
The Certification Forms clause requires parties to provide specific documents or statements that verify compliance with certain legal, regulatory, or contractual requirements. Typically, this involves submitting signed forms or declarations confirming facts such as eligibility, status, or adherence to standards—examples include tax certifications, conflict of interest disclosures, or proof of insurance. The core function of this clause is to ensure that all parties have formally attested to meeting necessary conditions, thereby reducing risk and providing a clear record of compliance.
Certification Forms. Without limiting the generality of the foregoing,
(i) any Lender that is a U.S. Person shall deliver to the Borrower and the Administrative Agent on or prior to the date on which such Lender becomes a Lender under this Agreement (and from time to time thereafter upon the reasonable request of the Borrower or the Administrative Agent), a duly executed copy of IRS Form W-9 certifying that such Lender is exempt from U.S. Federal backup withholding tax;
(ii) any Foreign Lender shall, to the extent it is legally eligible to do so, deliver to the Borrower and the Administrative Agent on or prior to the date on which such Foreign Lender becomes a Lender under this Agreement (and from time to time thereafter upon the reasonable request of the Borrower or the Administrative Agent), whichever of the following is applicable:
(A) in the case of a Foreign Lender claiming the benefits of an income tax treaty to which the United States is a party (x) with respect to payments of interest under any Loan Document, a duly executed copy of IRS Form W-8BEN-E or IRS Form W-8BEN establishing an exemption from, or reduction of, U.S. Federal withholding Tax pursuant to the “interest” article of such tax treaty and (y) with respect to any other applicable payments under any Loan Document, a duly executed copy of IRS Form W-8BEN-E or IRS Form W-8BEN establishing an exemption from, or reduction of, U.S. Federal withholding Tax pursuant to the “business profits” or “other income” article of such tax treaty;
(B) in the case of a Foreign Lender claiming that its extension of credit will generate U.S. effectively connected income, a duly executed copy of IRS Form W-8ECI;
(C) in the case of a Foreign Lender claiming the benefits of the exemption for portfolio interest under Section 881(c) or Section 871(h) of the Code, (x) a certificate substantially in the form of Exhibit D-1 to the effect that such Foreign Lender is not a “bank” within the meaning of Section 881(c)(3)(A) of the Code, a “10 percent shareholder” of the Borrower within the meaning of Section 871(h)(3)(B) of the Code, or a “controlled foreign corporation” described in Section 881(c)(3)(C) of the Code and that no payments under any Loan Documents are effectively connected with the Foreign Lender’s conduct of a U.S. trade or business (a “U.S. Tax Compliance Certificate”) and (y) a duly executed copy of IRS Form W-8BEN-E or IRS Form W-8BEN; or
(D) to the extent a Foreign Lender is not the beneficial owner (for example, where t...
Certification Forms. Submission forms located in ‘Appendix A’ of this document must be completed, signed, and notarized.
Certification Forms a. Serious health condition • A request for leave based on the serious health condition of the employee or the employee’s spouse, child, or parent must be supported by completion of Form WH-380-E – Certification of Health Care Provider for Employee’s Serious Health Condition or Form WH-380-F-Certification of Health Care Provider for Family Member’s Serious Health Condition completed by the health care provider. (Note: Attach the employee’s current job description to Form 380-E when it is sent to the employee’s health care provider.)
Certification Forms. 51 Section 2.14 CUSIP Numbers.......................................................................51 Section 2.15 Issuance of Additional Notes........................................................52
Certification Forms. (a) Whenever any certification is to be given by a beneficial owner of a portion of a Restricted Global Note pursuant to Section 2.07(c)(v)(D) in connection with the initial transfer of a beneficial interest in a Restricted Global Note to a Person who wishes to take delivery thereof in the form of a beneficial interest in a Regulation S Global Note, such certification shall be provided substantially in the form set forth in Exhibit C hereto.
(b) Whenever any certification is to be given by a beneficial owner of a portion of a Regulation S Global Note pursuant to Section 2.07(c)(v)(D) in connection with the initial transfer of a beneficial interest in the Regulation S Global Note to a Person who wishes to take delivery thereof in the form of a beneficial interest in the Restricted Global Note, such certification shall be provided substantially in the form set forth in Exhibit C hereto.
(c) Whenever any certification is to be given by a beneficial owner of a Restricted Note or Holder of a Restricted Note (other than a Restricted Global Note) pursuant to Section 2.07(b) in connection with the transfer or exchange of a Restricted Note, such certification shall be provided substantially in the form set forth in Exhibit B (which may be attached to or set forth on the Restricted Note).
Certification Forms. (a) Except as otherwise specified as contemplated by Section 2.3 for the 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 2.7(c)(v)(B) in connection with the initial 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 set forth in Exhibit B hereto, 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.
Certification Forms. In the event that the Department’s evaluation results in identical evaluations of replies, the Department will select a Respondent based on the criteria identified in subsections 287.187(4), 287.057(11), Florida Statutes and Rule 60A-1.011, F.A.C. Please provide the following documentation, if applicable. • Certification of Drug-Free Workplace, Attachment 9 (required for all vendors) • Certification of Minority Business (optional) • Certification of Wartime or Service Disabled Veteran (optional) If these do not apply to your company, please upload a document with a statement to that effect.
Certification Forms. (a) Whenever any certification is to be given by a beneficial owner of an interest in a Restricted Global Note pursuant to Section 2.7(c)(v)(B) hereof in connection with the transfer of a beneficial interest in a Restricted Global Note to a Person who wishes to take delivery thereof in the form of a beneficial interest in a Regulation S Global Note, such certification shall be provided substantially in the form set forth in Exhibit B hereto, with only such changes as shall be approved in writing by the Issuer.
(b) Whenever any certification is to be given by a beneficial owner of an interest in a Restricted Global Note pursuant to Section 2.7(c)(v)(C) hereof in connection with the transfer of a beneficial interest in a Restricted Global Note to a Person who wishes to take delivery thereof in the form of a beneficial interest in an Unrestricted Global Note, such certification shall be provided substantially in the form set forth in Exhibit C hereto, with only such changes as shall be approved in writing by the Issuer.
(c) Whenever any certification is to be given by a beneficial owner of an interest in a Regulation S Global Note pursuant to Section 2.7(c)(v)(D) hereof in connection with the transfer of a beneficial interest in the Regulation S Global Note to a Person who wishes to take delivery thereof in the form of a beneficial interest in the Restricted Global Note, such certification shall be provided substantially in the form set forth in Exhibit D hereto, with only such changes as may be approved in writing by the Issuer.
(d) Whenever any certification is to be given by the Holder of a Restricted Note pursuant to Section 2.7(b) or 2.7(c)(v)(E) hereof in connection with the transfer or exchange of a Restricted Note, such certification shall be provided substantially in the form set forth in Exhibit E (which may be attached to or set forth on the Restricted Note), with only such changes as may be approved in writing by the Issuer.
Certification Forms. 23 SECTION 2.14 CUSIP Numbers............................................................................. 24 SECTION 2.15 Taxes..................................................................................... 24 SECTION 2.16 Rights and Liabilities of the Issuer...................................................... 25 SECTION 2.17 Allocation of Principal and Interest...................................................... 25 SECTION 2.18 Security for and Parity of Notes; Ranking................................................. 25
Certification Forms a. Serious health condition