Consultant Certification. By executing this Agreement, Consultant certifies and warrants that Consultant has read the Background Screening requirements and criteria in this Section, understands them and that all Background Screening information furnished to City is accurate and current. Also, by executing this Agreement, Consultant further certifies and warrants that Consultant has satisfied all such Background Screening requirements as required. A Contract Worker rejected for work under this Agreement will not be proposed to perform work under other City contracts or engagements without City's prior written approval.
Consultant Certification. I certify that to the best of my knowledge the work as listed above has been completed, represents no duplication of payments, and any and all costs are in compliance with the contract items. _______________________________________________ Consultant Name _______________________________________________ Signature FOR OFFICE USE ONLY P.O. Order #: Invoice #: Supplier #: Project ID: Account (LN): Activity: Total: Authorized by & Date: BUREAU APPROVAL. This invoice has been reviewed for accuracy and compliance and is approved for payment. Note any exceptions. Partial Payment Date Invoice Approved: ________________ Final Payment Amount Approved for Payment $_________________________________ _____________________________________________________________ BOA Airport Land Program Manager BOA LAND 04/2019 ATTACHMENT A Land Services Contract Consultant Name and Address Airport Name BOA Project Number Contract Date Consultant Invoice Number and Date Time Period Covered by this Invoice: _____________________________________________________________________
Consultant Certification. I certify that to the best of my knowledge the work as listed above has been completed, represents no duplication of payments, and any and all costs are in compliance with the contract items. _______________________________________________ Consultant Name _______________________________________________ Signature FOR OFFICE USE ONLY Order #: Supplier #: Project ID: Account (LN): Activity: Total: Authorized by & Date: BUREAU APPROVAL. This invoice has been reviewed for accuracy and compliance and is approved for payment. Note any exceptions. Partial Payment Date Invoice Approved: ________________ Final Payment Amount Approved for Payment $_________________________________ _____________________________________________________________ Name 610adev.docx/ r.02/28/17 ATTACHMENT A Architectural Contract Consultant Name and Address Airport Name Project ID Contract Date Consultant Invoice Number and Date Time Period Covered by this Invoice: _______________________________________________________________________
Consultant Certification. If SUBRECIPIENT will be preparing an environmental impact statement on behalf of SANDAG under NEPA, SUBRECIPIENT certifies, as required by 40 C.F.R. 1506.5(c), by signing this Agreement, that it has no financial or other interest in the outcome of the Project.
Consultant Certification. I certify that all information provided to the University at Albany, SUNY is complete, true and accurate with regard to prior non-responsibility determinations within the past four years based upon (i) impermissible contacts or other violations of State Finance Law §139-j, as amended, and §139-k, as amended, or (ii) the intentional provisions of false or incomplete information to the University at Albany, SUNY. By: __________________________________________ Date: __________________________ Name: _______________________________________ Title: ___________________________ Consultant: ___________________________________________________________________________ Address: _____________________________________________________________________________ Agency Certification: In addition to the acceptance of this contract, I also certify that original copies of this signature page will be attached to all other exact copies of this contract. By:___________________________________________ Date:___________________________ Xxxx, Vice President, Chair (Name Typed Here) By:___________________________________________ Date:___________________________ Xxxxxx Xxxxxx, Controller Approved as to Form Approved and Filed Date: Date: ___________________ Xxxxxxx X. Xxxxx Xxxxxx X. XxXxxxxx Attorney General State Comptroller By: By: _____________________
Consultant Certification. A. The CONSULTANT certifies that it has not employed or retained any company or person, working primarily for the CONSULTANT, to solicit or secure this AGREEMENT by improperly influencing the DEPARTMENT or any of its employees, and CONSULTANT has not paid or agreed to pay any person, company, corporation, individual or firm, other than a bona fide employee working primarily for the CONSULTANT, any fee, commission, percentage, gift or any other consideration, contingent upon or resulting from the award or making of this AGREEMENT. The DEPARTMENT shall have the right to terminate this AGREEMENT for violation of this certification without liability and, at its discretion, to deduct from the AGREEMENT price, or otherwise recover the full amount of such fee, commission, percentage, gift or consideration.
Consultant Certification. I am a representative of the Consultant entering into this Agreement with the District, and I am familiar with the facts herein certified, and am authorized and qualified to execute this certificate on behalf of the Consultant. By signing below, I certify that the information contained on this certification form is accurate. I understand that it is Consultant’s sole responsibility to maintain, update, and provide the District with current “Fingerprint and Criminal Background Check Certification” information for all Consultant’s Personnel throughout the duration of the Agreement. A list of Consultant’s Personnel is attached hereto as Attachment A. Date: Consultant: Signature: Print Name: Title: 25-Jul-23 Maxim Staffing Service Inc Xxxxxxxx Xxxxxx Assistant Control ATTACHMENT “A” to FINGERPRINT CERTIFICATION Consultant’s Personnel Name/Company: Name/Company: Name/Company: Name/Company: Name/Company: Name/Company: Name/Company: Name/Company: Name/Company: Name/Company: Name/Company: Name/Company: Name/Company: Name/Company: Name/Company: Name/Company: Name/Company: If further space is required for the list of personnel, attach additional copies of this page. EXHIBIT E TUBERCULOSIS CERTIFICATION In accordance with the tuberculosis (“TB”) certification requirements of Education Code section 49406 (Contract Employees Only) With respect to the Agreement between the Redwood City School District (“District”) and (“Consultant”): PLEASE CHECK ALL APPROPRIATE BOXES AND SIGN BELOW. Consultant hereby certifies to the District that it and, if applicable, its employees shall only have limited or no contact (as determined by the District) with District students at all times during the Term of this Agreement; OR Consultant and, if applicable, the following employees of Consultant shall have more than limited contact (as determined by the District) with District students during the Term of this Agreement and, at no cost to the District, has or have received a TB risk assessment or examination in full compliance with the requirements of Education Code section 49406:
Consultant Certification. The Consultant hereby certifies that wage rates and other factual unit costs supporting the fees in this agreement are accurate, complete, current, and subject to adjustment, if required, as provided by Sections 81-1701 through 81-1721, Nebraska Revised Statutes (Reissue 1994). After being duly sworn on oath, I do hereby certify that except as noted below, neither I nor any person associated with the firm in the capacity of owner, partner, director, officer, principal investor, project director, manager, auditor, or any position involving the administration of federal funds:
Consultant Certification. 23For any particular Development, the Consultant agrees that, if deciding to Certify the property and workmanlike completion of the Design and Developer Works, in accordance with Goulburn Valley Water’s requirements, this must occur:
Consultant Certification. In signing this Agreement, Consultant certifies that it will comply with conflict of interest laws and regulations, and SFUSD Board Policies. Consultant acknowledges that it is familiar with these provisions; certifies that it does not know of any facts that constitute a violation of such provisions; and agrees to promptly notify the District if it becomes aware of any such facts during the term of this Agreement.
